Individual
TIDA SILLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2811 QUEENS PLZ N FL 5, LONG ISLAND CITY, NY 11101-4172
(718) 391-8300
Mailing address
2811 QUEENS PLZ N FL 5, LONG ISLAND CITY, NY 11101-4172
(718) 391-8300
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
163WS0200X
School Registered Nurse
Primary
N09651-01
NY
Other
Enumeration date
09/12/2022
Last updated
01/16/2026
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