Individual
DR. NINA SIVADASAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30-30 47TH AVE, OFFICE OF SCHOOL HEALTH- THE FACTORY, LONG ISLAND CITY, NY 11101
(646) 946-0424
Mailing address
30-30 47TH AVE, OFFICE OF SCHOOL HEALTH- THE FACTORY, LONG ISLAND CITY, NY 11101
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
271342
NY
208000000X
Pediatrics Physician
MT192994
PA
Other
Enumeration date
07/16/2008
Last updated
03/19/2021
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