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Contact Information

JEFFREY S SIDER, MD
812 WOODBURY RD
WOODBURY, NY11797-2501
 Phone: 516-935-1234
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JEFFREY S SIDER · (Male)

NPI # 1770642530
Status Active
Credentials MD
Entity Individual
Enumeration date 12/07/2006
Last updated 07/16/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 155874
  • NY Other 0005850 GHI
  • NY Other 113026525 TAX ID#
  • NY Other 155874 01 WORKERS COMP
Hospital affiliation(s)
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
  • PLAINVIEW HOSPITAL - (Acute Care)
    888 OLD COUNTRY ROAD
    PLAINVIEW, NY 11803
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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