Provider Demographics
NPI:1578569125
Name:CYRAN, DANIEL J (DO)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:J
Last Name:CYRAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 COLD SPRING RD
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-3109
Mailing Address - Country:US
Mailing Address - Phone:516-921-0711
Mailing Address - Fax:516-921-1233
Practice Address - Street 1:575 UNDERHILL BLVD STE 190
Practice Address - Street 2:
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-3494
Practice Address - Country:US
Practice Address - Phone:516-921-2817
Practice Address - Fax:516-921-5611
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-27
Last Update Date:2021-12-11
Deactivation Date:2006-03-17
Deactivation Code:
Reactivation Date:2006-06-05
Provider Licenses
StateLicense IDTaxonomies
NY176806204D00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01263189Medicaid
NY01263189Medicaid
NYE94764Medicare UPIN