Provider Demographics
NPI:1689057408
Name:JOSEPH, CINDY (OD)
Entity Type:Individual
Prefix:DR
First Name:CINDY
Middle Name:
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:168 S RIDGE ST
Mailing Address - Street 2:
Mailing Address - City:RYE BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:10573-5711
Mailing Address - Country:US
Mailing Address - Phone:914-939-0830
Mailing Address - Fax:914-939-7029
Practice Address - Street 1:168 S RIDGE ST SPC 6
Practice Address - Street 2:
Practice Address - City:RYE BROOK
Practice Address - State:NY
Practice Address - Zip Code:10573-5711
Practice Address - Country:US
Practice Address - Phone:914-939-2286
Practice Address - Fax:914-939-7029
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-30
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY56-008293152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist