Individual
DR. JOSEPH A SIDAOUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
293644
NY
208D00000X
General Practice Physician
293644
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05178872
—
NY
Enumeration date
06/30/2013
Last updated
09/10/2020
Update your record
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