Individual
DR. NEDUNCHEZIAN SITHIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1130 VICTORY BLVD, STATEN ISLAND, NY 10301-3623
(718) 448-5400
(718) 720-4989
Mailing address
1130 VICTORY BLVD, STATEN ISLAND, NY 10301-3623
(718) 448-5400
(718) 720-4989
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125292
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00302176
—
NY
Enumeration date
12/28/2005
Last updated
04/23/2008
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