Individual
BRIAN JOHN SIDISKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
111 NORTHERN PKWY W, PLAINVIEW, NY 11803-1932
(516) 690-7434
Mailing address
111 NORTHERN PKWY W, PLAINVIEW, NY 11803-1932
(516) 690-7434
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
017372
NY
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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