Individual
SIDNEY RAE BOTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
347 W 37TH ST, NEW YORK, NY 10018-4202
(844) 400-1975
(845) 765-9322
Mailing address
347 W 37TH ST, NEW YORK, NY 10018-4202
(844) 400-1975
(845) 765-9322
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
030488
NY
Other
Enumeration date
11/10/2022
Last updated
11/17/2025
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