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MR. ANTHONY LAWRENCE SIDOTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
817 BROADWAY, NORTH SUITE ROOM 9, NEW YORK, NY 10003
(212) 645-6443
Mailing address
77 SEVENTH AVENUE, APARTMENT 15V, NEW YORK, NY 10011
(212) 989-1478

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R031237
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R031237
EDUCATION DEPARTMENT DIVI
NY
Enumeration date
05/30/2007
Last updated
07/08/2007
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