Provider Demographics
NPI:1790101764
Name:KANDARAPPALLIL, SYNA MARIE (DO)
Entity Type:Individual
Prefix:DR
First Name:SYNA
Middle Name:MARIE
Last Name:KANDARAPPALLIL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:SYNA
Other - Middle Name:MARIE
Other - Last Name:JOSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:755 N BROADWAY
Mailing Address - Street 2:SENIOR HEALTH AND INTERNAL MEDICINE SUITE 100
Mailing Address - City:SLEEPY HOLLOW
Mailing Address - State:NY
Mailing Address - Zip Code:10591-1075
Mailing Address - Country:US
Mailing Address - Phone:914-366-3677
Mailing Address - Fax:914-366-1459
Practice Address - Street 1:755 N BROADWAY
Practice Address - Street 2:SENIOR HEALTH AND INTERNAL MEDICINE SUITE 100
Practice Address - City:SLEEPY HOLLOW
Practice Address - State:NY
Practice Address - Zip Code:10591-1075
Practice Address - Country:US
Practice Address - Phone:914-366-3677
Practice Address - Fax:914-366-1459
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-13
Last Update Date:2015-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY278178207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine