Mid Island Orthopedics & Sports Medicine PC

NPI #1669633061 in Plainview, New York

Provider Information

NPI Number: 1669633061
Entity Type: Organization
Organization Name: Mid Island Orthopedics & Sports Medicine PC
Primary Specialty: Specialist
Enumeration Date: Jun 19, 2008
Last Updated: Sep 15, 2008

Practice Location

Address: 100 MANETTO HILL RD
Address 2: SUITE 107
City: Plainview
State: New York
ZIP Code: 11803-1311
Phone: (516) 935-1234

Authorized Official

Name: DR. JEFFREY S SIDER, MD
Title: OWNER/OPERATOR
Phone: (516) 935-1234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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