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Individual

DR. LAURA THERESE SIDARI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
905 HANSHAW ROAD, SUITE C, ITHACA, NY 14850
(607) 882-2388
Mailing address
905 HANSHAW ROAD, SUITE C, ITHACA, NY 14850
(607) 882-2388

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0101256239
VA
2084P0800X
Psychiatry Physician
Primary
299418
NY

Other

Enumeration date
04/06/2012
Last updated
10/14/2021
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