Individual
ELLEN KATHRYN SIDLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CM
Contact information
Practice address
399 LINCOLN RD, BROOKLYN, NY 11225-4358
(347) 628-2108
(929) 273-2482
Mailing address
399 LINCOLN RD, BROOKLYN, NY 11225-4358
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
002293
NY
Other
Enumeration date
11/13/2009
Last updated
08/27/2025
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