Provider Demographics
NPI:1952593881
Name:CUYLER, JEROME F (MD)
Entity Type:Individual
Prefix:MR
First Name:JEROME
Middle Name:F
Last Name:CUYLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3 BRIDGE STREET
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CARTHAGE
Mailing Address - State:NY
Mailing Address - Zip Code:13619-1333
Mailing Address - Country:US
Mailing Address - Phone:315-493-7334
Mailing Address - Fax:315-493-4232
Practice Address - Street 1:3 BRIDGE STREET
Practice Address - Street 2:SUITE 3
Practice Address - City:CARTHAGE
Practice Address - State:NY
Practice Address - Zip Code:13619-1333
Practice Address - Country:US
Practice Address - Phone:315-493-7334
Practice Address - Fax:315-493-4232
Is Sole Proprietor?:No
Enumeration Date:2007-08-14
Last Update Date:2011-07-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY131757207RG0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00876348Medicaid
NY58A722Medicare UPIN
NY00876348Medicaid
NYJ400004283Medicare UPIN