Lirios-Siciliano, Martina

Lirios-Siciliano, Martina is an sole proprietor health care provider with primary practice located at 2174 Paulding Ave , Bronx NY 10462-2100. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Ambulatory Health Care Facilities / Health Service. Ambulatory Health Care Facilities / Health Service is her primary health care specialty. Lirios-Siciliano, Martina can be contacted via phone (718) 918-1652.

Contact Information

Primary practice address
2174 Paulding Ave Bronx NY 10462-2100
Phone: (718) 918-1652
Fax: (718) 918-1652
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 152323 New York
Ambulatory Health Care Facilities / Health Service 261QH0100X 152323 New York

Profile Details

NPI number 1851614200
LBN Legal business name Lirios-Siciliano, Martina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 11th, 2010
Last updated Mar 11th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851614200 NPPES
New York MEDICAID 152323

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