Jeffrey S Sider in Woodbury - Sports Medicine
Jeffrey S Sider - NPI 1770642530
Jeffrey S Sider is a Sports Medicine in Woodbury, New York. Jeffrey S Sider practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Jeffrey S Sider is 1770642530. The last update date is 2013-07-16.
Jeffrey S Sider's current location address is 812 Woodbury Rd, Woodbury, New York. You can contact this provider via phone number 5169351234. The mailing address for Jeffrey S Sider is 812 Woodbury Rd, Woodbury, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey S Sider |
|---|---|
| Address | 812 Woodbury Rd, Woodbury, New York |
| Phone Number | 5169351234 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1770642530 |
|---|---|
| Provider Enumeration Date | 2006-12-07 |
| Last Updated Date | 2013-07-16 |
Provider Mailing Address Detail
| Address | 812 Woodbury Rd |
|---|---|
| City | Woodbury |
| State | New York (NY) |
| Post Code | 117972501 |
| Phone Number | 5169351234 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | 155874 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 113026525 | NY | TAX ID# | |
| 155874 01 | NY | WORKERS COMP | |
| 5850 | NY | GHI |
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What is the unique 10-digit identifier code assigned to Jeffrey S Sider by the Centers for Medicare & Medicaid Services?
The Jeffrey S Sider has been issued the NPI (National Provider Identifier) 1770642530 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Jeffrey S Sider's physical address?
The Jeffrey S Sider is physically located at 812 Woodbury Rd, in the city of Woodbury, NY, with the postal code 117972501.
What is Jeffrey S Sider's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jeffrey S Sider is Sports Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Xx0005X.
When did Jeffrey S Sider receive its 1770642530 assignment?
The Jeffrey S Sider was assigned its 1770642530 on 2006-12-07, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Jeffrey S Sider most recently updated or revised?
The details related to Jeffrey S Sider, including its address, specialty, and other relevant information, were last updated or revised on 2013-07-16.