Individual
MARIA ENGRACIA R. SY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7926 PRESTON HWY STE 106, LOUISVILLE, KY 40219
(502) 964-4357
(502) 966-5948
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33438
KY
207Q00000X
Family Medicine Physician
7165
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080113207
RAILROAD MEDICARE
KY
05
—
64433386
—
KY
Enumeration date
11/08/2005
Last updated
12/22/2021
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