Cynthia H. Ickes, M.D., P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

205890 Issued in NY

Legal business name

CYNTHIA H. ICKES, M.D., P.C.

Practice address

222 Manor PL
Greenport, NY 11944-1261

Phone

(631) 477-2626

NPI assigned

Dec 20, 2010

Last updated

Dec 20, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Cynthia H. Ickes, M.D.NPI 1992741409

Title

President

Phone

(631) 477-2626

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cynthia H. Ickes, M.D.

  • Internal Medicine Physician
  • Greenport, NY
  • NPI 1992741409
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1568765204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 MANOR PL",
            "city": "GREENPORT",
            "state": "NY",
            "postal_code": "119441261",
            "telephone_number": "631-477-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 MANOR PL",
            "city": "GREENPORT",
            "state": "NY",
            "postal_code": "119441261",
            "telephone_number": "631-477-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA H. ICKES, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-20",
        "last_updated": "2010-12-20",
        "status": "A",
        "authorized_official_last_name": "ICKES",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-477-2626",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "205890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naveed Ahmed Chaudhry, M.D.
• Shahina Chaudry, LCSW
• Claudia Colabella, PT, DPT
• Deann Renee Corcoran
• John Morgan Cosgrove, MD
• Huzaifa Dorria, MD
• Lynnlee Reese Duck-Reynolds, DO
• East End Bugee Transport LLC
• East End Cardiology PC
• East End Cardiology, PC

• Internal Medicine Physician in Greenport, NY
• Providers in Greenport, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.