Individual provider · Type 1 NPI

Siani Ym Amidon, M.S., C.A.S., NCSP

Specialist · Syracuse, NY

NPI number 1497120711 Active

Practice location

3353 Pleasant Valley Rd
Syracuse, NY 13215-8673

Call (315) 857-4916 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X2385240 (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 1497120711

Siani Ym Amidon, M.S., C.A.S., NCSP's National Provider Identifier is 1497120711, issued on Dec 11, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Syracuse, NY. The record was last updated on Dec 11, 2015.