Individual
SIAMAK TADAYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1901 FIRST AV., METROPOLITAN HOSPITAL SURGERY DEP., NY, NY 10029
(212) 423-6614
Mailing address
7139 SUTTON PL, 1ST FLOOR, FRESH MEADOWS, NY 11365-4135
(646) 251-3461
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
008794-1
NY
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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