Individual
CINDY SIDWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
131 OXFORD RD, NEW HARTFORD, NY 13413-2832
(315) 797-1115
Mailing address
6095 STATE ROUTE 26, ROME, NY 13440-8068
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2687631
NY
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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