Provider Demographics
NPI:1871092445
Name:CYR, DANIEL G (DO)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:G
Last Name:CYR
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:35 BROADWAY APT 3D
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-4284
Mailing Address - Country:US
Mailing Address - Phone:207-409-2507
Mailing Address - Fax:
Practice Address - Street 1:33 RESEARCH WAY STE 13
Practice Address - Street 2:
Practice Address - City:EAST SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11733-3489
Practice Address - Country:US
Practice Address - Phone:613-444-4090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-08
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY301061207WX0110X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0110XAllopathic & Osteopathic PhysiciansOphthalmologyPediatric Ophthalmology and Strabismus Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY11-1665825Medicaid