Individual
DAVID SIDHOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
630 W 168TH ST, NEW YORK, NY 10032-3725
(212) 305-2500
Mailing address
1122 PONTIAC TRL, ANN ARBOR, MI 48105-1771
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
207PE0004X
NY
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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