NPI 1326422163

Nicholas Siderakis

Practitioner Technician Brooklyn, NY

Practice location

Address: 2035 Ralph Ave Suite A1, Brooklyn, NY 11234-5300
Phone: (718) 209-5439

Registered specialties

Technician Primary

Nursing Service Related Providers Taxonomy 374700000X Licence RBT-15-02303 (NY)

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Registry record

NPI: 1326422163
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jul 2015
Record last updated: 10 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.