Sixto A Siasoco


Address: 415 Port Washington Blvd, Port Washington, NY 11050-4201
Phone: 5168830218

Sixto A Siasoco (NPI# 1063482123, PAC ID# 0840470381) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1063482123
PAC ID by PECOS 0840470381
Professional Enrollment ID I20110215000930
Full Name Sixto A Siasoco
Address 415 Port Washington Blvd
Port Washington
NY 11050-4201
Phone Number 5168830218
Gender M
Medical School NEW YORK MEDICAL COLLEGE
Graduation Year 1961
Primary Specialty FAMILY MEDICINE
Secondary Specialties GENERAL SURGERY
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
415 Port Washington Blvd, Port Washington, NY 11050-4201 5168830218

Organization Information

Office Location

Street Address 415 PORT WASHINGTON BLVD
City PORT WASHINGTON
State NY
Zip 11050-4201

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Competitor

Search similar physicians

City PORT WASHINGTON
Zip Code 11050
Specialty FAMILY MEDICINE
City + Specialty PORT WASHINGTON + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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