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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 16 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 1619954997 NPPES
New York MEDICAID 00302176

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