Individual
MS. SIOBHAN CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
L8 UNIVERSITY HOSPITAL, STONY BROOK, NY 11794-0001
(631) 444-7653
Mailing address
P.O. BOX 1559, STONY BROOK, NY 11790
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
F350168-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01974749
—
NY
Enumeration date
08/03/2006
Last updated
11/04/2009
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