What is Alisa Sidorov's NPI number?

Alisa Sidorov's National Provider Identifier (NPI) is 1629460829, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Alisa Sidorov's specialty?

Alisa Sidorov is listed in the NPPES registry with a primary specialty of Early Intervention Provider Agency (Agencies).

Where is Alisa Sidorov located?

Alisa Sidorov's practice location on file with NPPES is 21 Palisade St, Staten Island, NY 10305-4711.

What is Alisa Sidorov's phone number?

The practice phone number listed in the NPPES registry for Alisa Sidorov is (646) 234-6025.

Is Alisa Sidorov's NPI active?

Yes — Alisa Sidorov's NPI (1629460829) is active in the NPPES registry as of the last update on 2015-02-24.

IndividualActive

Alisa Sidorov

NPI 1629460829 · Early Intervention Provider Agency · Staten Island, NY

Alisa Sidorov is a Early Intervention Provider Agency provider in Staten Island, NY (NPI 1629460829).

Provider details

NPI number: 1629460829
Entity type: Individual
Primary specialty: Early Intervention Provider AgencyAgencies
Sex: Female
Sole proprietor: Yes
License: 1296222 (NY)

Specialties & taxonomies

Early Intervention Provider AgencyPrimary252Y00000XLicense 1296222 (NY)
Agencies

Profile Score

Established profile(74/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
11 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

21 Palisade St

Staten Island, NY 10305-4711

Phone: (646) 234-6025

Fax: (718) 273-0324

Street-level locationGet directions

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Mailing address