Individual
MR. MARSHALL SIDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BENEFITS COORDINATOR
Contact information
Practice address
9114 37TH AVE, JACKSON HEIGHTS, NY 11372-7920
(718) 779-1600
(347) 612-4162
Mailing address
9114 37TH AVE, JACKSON HEIGHTS, NY 11372-7920
(718) 779-1600
(347) 612-4162
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
NYCPS-P-1715
NY
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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