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Individual

DR. SANDEEP SIRSI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
305 MAIN STREET, OGDENSBURG, NY 13669
(315) 393-2611
(315) 393-2633
Mailing address
305 MAIN STREET, OGDENSBURG, NY 13669
(315) 393-2611
(315) 393-2633

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
192158
NY
208600000X
Surgery Physician
G86707
CA
208600000X
Surgery Physician
ME87438
FL
208C00000X
Colon & Rectal Surgery Physician
192158
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01902749
NY
Enumeration date
10/13/2005
Last updated
07/28/2023
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