Provider Demographics
NPI:1053374868
Name:CIMA, MIGUEL (MD)
Entity type:Individual
Prefix:DR
First Name:MIGUEL
Middle Name:
Last Name:CIMA
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 1:877 STEWART AVENUE
Mailing Address - Street 2:SUITE 28
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530
Mailing Address - Country:US
Mailing Address - Phone:516-222-1000
Mailing Address - Fax:516-222-1017
Practice Address - Street 1:877 STEWART AVE
Practice Address - Street 2:SUITE 28
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-4803
Practice Address - Country:US
Practice Address - Phone:516-222-1000
Practice Address - Fax:516-222-1017
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-11
Last Update Date:2010-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM114703207R00000X
NY114703207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY692661Medicare ID - Type Unspecified
NYB18713Medicare UPIN
NY00389744Medicare ID - Type Unspecified