Individual
DR. IGNATIUS CYRIAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
664 NICOLLS RD, DEER PARK, NY 11729-2722
(631) 667-5897
(631) 667-6917
Mailing address
664 NICOLLS RD, DEER PARK, NY 11729-2722
(631) 667-5897
(631) 667-6917
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
126456
NY
Other
Enumeration date
04/21/2006
Last updated
04/25/2011
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