Active NPIIndividual providerSole proprietor

Dr. Yaroslav Sidletskyy, MD

Family Medicine in Miramar, Florida

NPI Number1619275849
Practice location
3601 SW 160TH Ave, Suite 250, Miramar, FL 33027-6308
Fax
—
Last updated
February 27, 2012

Yaroslav Sidletskyy is a Family Medicine based in Miramar, FL. Yaroslav Sidletskyy practices in Miramar, FL and has the professional credentials of MD. The NPI Number for Yaroslav Sidletskyy is 1619275849 and holds a License No. 261950-1 (NY). The current practice location address for Yaroslav Sidletskyy is 3601 SW 160TH Ave, Suite 250, Miramar, FL 33027-6308 and can be reached out via phone at 877-866-7123.

Provider Profile Details

NPI Number
1619275849
Provider Name
Yaroslav Sidletskyy
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3601 SW 160TH Ave, Suite 250, Miramar, FL 33027-6308
Phone Number
877-866-7123
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 11, 2011
Last Update Date
February 27, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
3601 SW 160TH Ave
Suite 250
Miramar, FL 33027-6308
State
Florida
Zip
33027-6308
Phone Number
877-866-7123
Miramar, FL 33027Get directions →

Provider Business Mailing Address Details

Address
1000 Central Ave Apt 114B
Westfield, NJ 07090-5600
City
Westfield
State
NJ
Zip
07090-5600
Phone Number
845-300-0766

License Information

License Number (1)
261950-1
License State (1)
NY
Taxonomy (1)
Family Medicine · 207Q00000X · Primary
License Number (2)
25MA08896000
License State (2)
NJ
Taxonomy (2)
Internal Medicine · 207R00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Yaroslav Sidletskyy, MD?

The NPI number of Dr. Yaroslav Sidletskyy, MD is 1619275849. It was assigned on March 11, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Yaroslav Sidletskyy, MD?

Dr. Yaroslav Sidletskyy, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NY under license number 261950-1.

Where does Dr. Yaroslav Sidletskyy, MD practice?

The practice location is 3601 SW 160TH Ave, Suite 250, Miramar, FL 33027-6308. The office can be reached at 877-866-7123 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619275849 directly on the NPPES registry website.

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