Sideridis, Kostas
Sideridis, Kostas is an sole proprietor health care provider with primary practice located at 237 Jericho Turnpike , Syosset NY 11791. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Sideridis, Kostas can be contacted via phone (516) 584-6400.Contact Information
Primary practice address
237 Jericho Turnpike
Syosset NY 11791
Phone: (516) 584-6400
Fax: (516) 584-6399
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 220299 | New York |
Profile Details
| NPI number | 1003913682 |
|---|---|
| LBN Legal business name | Sideridis, Kostas |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 17th, 2006 |
| Last updated | Jun 2nd, 2009 - 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 | 1003913682 | NPPES |
| New York | MEDICAID | 02760525 |
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