Provider Demographics
NPI:1073611414
Name:LIGENZA, CYNTHIA (MD)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:LIGENZA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1756 ROUTE 9D
Mailing Address - Street 2:
Mailing Address - City:COLD SPRING
Mailing Address - State:NY
Mailing Address - Zip Code:10516-2619
Mailing Address - Country:US
Mailing Address - Phone:845-809-5661
Mailing Address - Fax:845-809-5663
Practice Address - Street 1:1756 ROUTE 9D
Practice Address - Street 2:
Practice Address - City:COLD SPRING
Practice Address - State:NY
Practice Address - Zip Code:10516-2619
Practice Address - Country:US
Practice Address - Phone:845-265-1006
Practice Address - Fax:845-265-4548
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY147833207R00000X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01177100Medicaid
NYE44800Medicare UPIN
42F021Medicare ID - Type Unspecified