Individual
SYDNEY C ONDRASIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-5174
Mailing address
537 STANTON CHRISTIANA RD STE 102, NEWARK, DE 19713-2145
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
OA002616
PA
363A00000X
Physician Assistant
Primary
PA01315
RI
363A00000X
Physician Assistant
PA7820
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C50000756
DE STATE LICENSE
DE
Enumeration date
03/17/2011
Last updated
08/10/2021
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