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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063482123 | NPPES |
| New York | MEDICAID | 00207763 |
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