Shanise Dyane Siddo

NPI #1053208462 in Albany, New York

Provider Information

NPI Number: 1053208462
Entity Type: Individual
Name: Shanise Dyane Siddo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Enumeration Date: Jun 19, 2025
Last Updated: Jun 19, 2025

Practice Location

Address: 75 NEW SCOTLAND AVE
City: Albany
State: New York
ZIP Code: 12208-3409
Phone: (518) 549-6616

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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