Individual provider · Type 1 NPI

Natalie Jean Sidarous

Specialist · Staten Island, NY

NPI number 1144581968 Active

Practice location

4024 Amboy Rd
Staten Island, NY 10308-2409

Mailing address

177 Benton Ave
Staten Island, NY 10305-2434

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X477919101 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1144581968

Natalie Jean Sidarous's National Provider Identifier is 1144581968, issued on Jun 7, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Staten Island, NY. The record was last updated on Jun 7, 2012.