Provider Demographics
NPI:1013926567
Name:MACKAY, CYNTHIA J (MD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:J
Last Name:MACKAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:315 CENTRAL PARK WEST
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-7655
Mailing Address - Country:US
Mailing Address - Phone:212-772-6050
Mailing Address - Fax:212-327-0396
Practice Address - Street 1:315 CENTRAL PARK WEST
Practice Address - Street 2:SUITE 1B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-7655
Practice Address - Country:US
Practice Address - Phone:212-772-6050
Practice Address - Fax:212-327-0396
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY135040207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB79265OtherBCBS
NYNS820OtherOXFORD
NYNS820OtherOXFORD
NYB79265Medicare UPIN