Siasoco, Sixto Andres

Siasoco, Sixto Andres is an individual health care provider with primary practice located at 415 Port Washington Blvd , Port Washington NY 11050-4201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Siasoco, Sixto Andres can be contacted via phone (516) 883-0218.

Contact Information

Primary practice address
415 Port Washington Blvd Port Washington NY 11050-4201
Phone: (516) 883-0218
Fax: (516) 767-0894
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 113792 New York

Profile Details

NPI number 1063482123
LBN Legal business name Siasoco, Sixto Andres
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jul 8th, 2007 - about 17 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 1063482123 NPPES
New York MEDICAID 00207763

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