Individual
DR. VIJAY SRICHAND SIDHWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2965 LONG BEACH RD, OCEANSIDE, NY 11572-3204
(516) 770-8458
Mailing address
14 ERIC LN, NEW HYDE PARK, NY 11040-1902
(516) 770-8458
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
238259
NY
Other
Enumeration date
07/25/2007
Last updated
10/09/2012
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