Sidaoui Corp
Surgery in Brooklyn, NY. Organization (NPI-2).
NPI number1164052908
StatusActive
Last updated in NPPESSep 10, 2020
Details
- NPI
- 1164052908
- Entity type
- Organization (NPI-2)
- Legal business name
- Sidaoui Corp
- Organization subpart
- No
- Enumeration date
- Jan 21, 2020
- Certification date
- Sep 10, 2020
- Last updated
- Sep 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | – | – | Yes |
Practice location
27 Kingsland Ave Apt 2lBrooklyn, NY 11211-1551
Phone 407-446-3323
Mailing address
27 Kingsland Ave Apt 2lBrooklyn, NY 11211-1551
Phone 407-446-3323
Authorized official
Joseph Sidaoui
President
4074463323
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