Individual
IDO SIROTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. M.H.A
Contact information
Practice address
1000 10TH AVE, NEW YORK, NY 10019-1147
(212) 523-4000
Mailing address
1000 10TH AVE, NEW YORK, NY 10019-1147
(212) 523-4000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
275462
NY
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
Primary
275462
NY
Other
Enumeration date
08/10/2010
Last updated
11/08/2018
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