Individual
BESSIE SIDOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
LPN
Contact information
Practice address
998 CROOKED HILL RD, BRENTWOOD, NY 11717-1019
(631) 225-0476
Mailing address
PO BOX 713, BELLPORT, NY 11713-0713
(631) 796-1309
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
286376
NY
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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