Provider Demographics
NPI:1003378431
Name:CZINN, ERIC SAMUEL (MD)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:SAMUEL
Last Name:CZINN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72 CRAWFORD ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620-2426
Mailing Address - Country:US
Mailing Address - Phone:433-388-0281
Mailing Address - Fax:
Practice Address - Street 1:400 FRANK W BURR BLVD FL 2
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-6839
Practice Address - Country:US
Practice Address - Phone:201-928-2300
Practice Address - Fax:201-692-3262
Is Sole Proprietor?:No
Enumeration Date:2019-04-04
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA12766900207RC0000X
390200000X
NY318246-01207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program