Individual
MR. ANTHONY PAUL SIDARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
905 HANSHAW ROAD, SUITE C, ITHACA, NY 14850
(937) 257-9911
Mailing address
905 HANSHAW ROAD, SUITE C, ITHACA, NY 14850
(937) 257-9911
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101256184
VA
207R00000X
Internal Medicine Physician
299401
NY
207RR0500X
Rheumatology Physician
0101256184
VA
207RR0500X
Rheumatology Physician
Primary
299401
NY
Other
Enumeration date
05/07/2012
Last updated
04/27/2020
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