Sidon, Kristine P.
Sidon, Kristine P. is an sole proprietor health care provider with primary practice located at 400 Walberta Rd , Syracuse NY 13219-2214. She recently has only one registered license in Agencies / Local Education Agency (LEA), which is considered as her primary health care specialty. Sidon, Kristine P. can be contacted via phone (315) 426-3200.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Local Education Agency (LEA) | 251300000X |
Profile Details
| NPI number | 1417245366 |
|---|---|
| LBN Legal business name | Sidon, Kristine P. |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2011 |
| Last updated | Jul 13th, 2011 - about 14 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 | 1417245366 | NPPES |
| New York | MEDICAID | 01366623 |
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