Provider Demographics
NPI:1790768232
Name:KREISBERG, CINDY C (RPAC)
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:C
Last Name:KREISBERG
Suffix:
Gender:F
Credentials:RPAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:323 STRATTON RD
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10804-1441
Mailing Address - Country:US
Mailing Address - Phone:914-576-3550
Mailing Address - Fax:718-960-8909
Practice Address - Street 1:250 BEDFORD PARK BLVD W
Practice Address - Street 2:T-3, ROOM 118
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10468-1527
Practice Address - Country:US
Practice Address - Phone:718-960-8902
Practice Address - Fax:718-960-8909
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1607-1363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical