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Individual
MATHIA SIDOTI
Active
Individual
MATHIA SIDOTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
013228
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00013228
—
NY
01
—
000499884001
BSNENY
—
01
—
10056297
CDPHP
—
01
—
58133
GHIHMO
—
01
—
M39141
EMPIRE BLUE CROSS
—
Enumeration date
09/21/2006
Last updated
09/01/2009
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