Provider Demographics
NPI:1033290127
Name:CARLYN, CYNTHIA JOAN (MD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:JOAN
Last Name:CARLYN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:55 PEYSTER ST
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208-2529
Mailing Address - Country:US
Mailing Address - Phone:518-591-0518
Mailing Address - Fax:518-626-6564
Practice Address - Street 1:113 HOLLAND AVE
Practice Address - Street 2:STRATTON VAMC
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208
Practice Address - Country:US
Practice Address - Phone:518-626-6415
Practice Address - Fax:518-626-6564
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY225924-1207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease