Individual
ANDREA N SIDELI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9801 SHORE RD APT 2A, BROOKLYN, NY 11209-7632
(718) 614-5621
Mailing address
9801 SHORE RD APT 2A, BROOKLYN, NY 11209-7632
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
04/13/2019
Last updated
04/13/2019
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