Sidon, Kristine P.

Sidon, Kristine P. is an sole proprietor health care provider with primary practice located at 400 Walberta Rd , Syracuse NY 13219-2214. She recently has only one registered license in Agencies / Local Education Agency (LEA), which is considered as her primary health care specialty. Sidon, Kristine P. can be contacted via phone (315) 426-3200.

Contact Information

Primary practice address
400 Walberta Rd Syracuse NY 13219-2214
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Local Education Agency (LEA) 251300000X

Profile Details

NPI number 1417245366
LBN Legal business name Sidon, Kristine P.
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2011
Last updated Jul 13th, 2011 - about 13 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 1417245366 NPPES
New York MEDICAID 01366623

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