Individual provider · Type 1 NPI
Mary Candida Tsidemidis I
General Practice Registered Nurse · St. James, NY
NPI number
1619747813
Active
Practice location
295 7th Ave
St. James, NY 11780-2436
Mailing address
56 Knott Dr
Glen Cove, NY 11542-4143
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 336883-01 (NY) |
General Practice Registered Nurse: Definition to come...
3 other providers at this address
Other general practice registered nurse providers in St. James
About NPI 1619747813
Mary Candida Tsidemidis I's National Provider Identifier is 1619747813, issued on Jan 8, 2024. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in St. James, NY. The record was last updated on Jan 8, 2024.