Individual
DR. ERIC CLAYTON SIDDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
177 FORT WASHINGTON AVE, 6TH FLOOR, CTR 12, NEW YORK, NY 10032-3733
(212) 305-2913
Mailing address
630 WEST 168 STREET, BOX 4, NEW YORK, NY 10032
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
245059
NY
207RN0300X
Nephrology Physician
Primary
245059
NY
Other
Enumeration date
08/15/2007
Last updated
06/24/2017
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