Individual
ALICIA SIDLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4861 BROADWAY, NY, NY 10034
(917) 495-0651
Mailing address
4861 BROADWAY, NY, NY 10034
(917) 495-0651
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
029470
NY
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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