Provider Demographics
NPI:1932294832
Name:BOAKYE, CYNTHIA G (MD MPH)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:G
Last Name:BOAKYE
Suffix:
Gender:F
Credentials:MD MPH
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:100 N PORTLAND AVE
Mailing Address - Street 2:CUMBERLAND DIAGNOSTIC AND TREATMENT CENTER
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11205-2005
Mailing Address - Country:US
Mailing Address - Phone:718-260-7895
Mailing Address - Fax:718-260-7895
Practice Address - Street 1:100 N PORTLAND AVE
Practice Address - Street 2:CUMBERLAND DIAGNOSTIC AND TREATMENT CENTER
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11205-2005
Practice Address - Country:US
Practice Address - Phone:718-260-7895
Practice Address - Fax:718-260-7673
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY163526208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB19482Medicare UPIN
NY82D342Medicare ID - Type Unspecified