Organization
CYNTHIA H. ICKES, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA H. ICKES M.D. (PRESIDENT)
(631) 477-2626
Entity
Organization
Contact information
Practice address
222 MANOR PL, GREENPORT, NY 11944-1261
(631) 477-2626
Mailing address
222 MANOR PL, GREENPORT, NY 11944-1261
(631) 477-2626
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
205890
NY
Other
Enumeration date
12/20/2010
Last updated
12/20/2010
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