Individual
DR. SEBASTIAN SIADECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 832-7000
Mailing address
1000 10TH AVE, NEW YORK, NY 10019-1147
(212) 523-4000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2018-00595
NC
207P00000X
Emergency Medicine Physician
265460
NY
Other
Enumeration date
06/11/2009
Last updated
10/12/2022
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