Carolyn Suzanne Sivco, MD
Anesthesiology in West Islip, NY. Individual provider (NPI-1).
NPI number1164087870
StatusActive
Last updated in NPPESMay 24, 2023
Details
- NPI
- 1164087870
- Entity type
- Individual (NPI-1)
- Name
- Carolyn Suzanne Sivco
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 8, 2019
- Certification date
- May 24, 2023
- Last updated
- May 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 322663-01 | NY | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1000 Montauk HwyWest Islip, NY 11795-4927
Phone 888-235-8924
Mailing address
1000 Montauk HwyWest Islip, NY 11795-4927
Other practice locations
20 York St
New Haven, CT 06510-3220
New Haven, CT 06510-3220
Phone 203-490-6292
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