Sithian, Nedunchezian
Sithian, Nedunchezian is an sole proprietor health care provider with primary practice located at 1130 Victory Blvd , Staten Island NY 10301-3623. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Sithian, Nedunchezian can be contacted via phone (718) 448-5400.Contact Information
Primary practice address
1130 Victory Blvd
Staten Island NY 10301-3623
Phone: (718) 448-5400
Fax: (718) 720-4989
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 125292 | New York |
Profile Details
| NPI number | 1619954997 |
|---|---|
| LBN Legal business name | Sithian, Nedunchezian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2005 |
| Last updated | Apr 23rd, 2008 - 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 | 1619954997 | NPPES |
| New York | MEDICAID | 00302176 |
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