Sandidge, Donna R.

Sandidge, Donna R. is an individual health care provider with primary practice located at 310 Taughannock Blvd Suite 310, Ithaca NY 14850-3251. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Sandidge, Donna R. can be contacted via phone (607) 252-3590.

Contact Information

Primary practice address
310 Taughannock Blvd Suite 310 Ithaca NY 14850-3251
Phone: (607) 252-3590
Fax: (607) 252-3592
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 220140 New York

Profile Details

NPI number 1770557209
LBN Legal business name Sandidge, Donna R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Jan 12th, 2016 - about 10 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 1770557209 NPPES
New York MEDICAID 02154516
New York Other 030004925
New York Other CC8362
New York MEDICAID 0018306520001

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