Individual
SIHAM DONIAZAD ACCACHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
120 MINEOLA BLVD, SUITE 210, MINEOLA, NY 11501-4073
(516) 663-3090
(516) 663-3070
Mailing address
222 STATION PLZ N, SUITE 611, MINEOLA, NY 11501-3808
(516) 663-2532
(516) 663-8874
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
228741
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02728678
—
NY
Enumeration date
07/21/2006
Last updated
02/04/2021
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