Sydorak, Gerald

Sydorak, Gerald is an sole proprietor health care provider with primary practice located at 1800 Sullivan Ave Rm 507 , Daly City CA 94015-2225. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Sydorak, Gerald can be contacted via phone (650) 697-7003.

Contact Information

Primary practice address
1800 Sullivan Ave Rm 507 Daly City CA 94015-2225
Phone: (650) 697-7003
Fax: (650) 697-7065
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G17750 California
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X G17750 California

Profile Details

NPI number 1619019312
LBN Legal business name Sydorak, Gerald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 12th, 2007
Last updated Jul 21st, 2022 - about 4 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 1619019312 NPPES
California Other G017750 LICENSE
California MEDICAID YYY34803Y LICENSE

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