Provider Demographics
NPI:1972812980
Name:KOMPANCARIL, SYBIL K (OD)
Entity Type:Individual
Prefix:DR
First Name:SYBIL
Middle Name:K
Last Name:KOMPANCARIL
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 1:118 HADDON RD
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-1746
Mailing Address - Country:US
Mailing Address - Phone:516-359-4617
Mailing Address - Fax:
Practice Address - Street 1:312 BLEECKER ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10014-3437
Practice Address - Country:US
Practice Address - Phone:212-989-7060
Practice Address - Fax:212-989-7062
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-26
Last Update Date:2010-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV007569-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist