Search › New York › Early Intervention Provider Agency
Alisa Sidorov
NPI 1629460829 · on the registry since 2015 · sole proprietor
Practice
- Address
- 21 Palisade St
Staten Island, NY 10305 - Phone
- (646) 234-6025
- Fax
- (718) 273-0324
Registry record
- Primary taxonomy
- Early Intervention Provider Agency
252Y00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-02-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York