Individual
AUDREY JACOBSON SIDRANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
150 E 42ND ST, NEW YORK, NY 10017-5612
(212) 661-8139
Mailing address
18 W 27TH ST, NEW YORK, NY 10001-6904
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
347725
NY
Other
Enumeration date
06/23/2021
Last updated
05/08/2023
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