Individual
CARLY ZIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
6411 FLEET ST, UNIT A, REGO PARK, NY 11374-5200
(516) 633-4748
Mailing address
6411 FLEET ST, UNIT A, REGO PARK, NY 11374-5200
(516) 633-4748
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/07/2017
Last updated
04/07/2017
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