Provider Demographics
NPI:1033272083
Name:BIDAR, SHEILA (MS, LAC)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:BIDAR
Suffix:
Gender:F
Credentials:MS, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 E 21ST ST
Mailing Address - Street 2:APARTMENT 1E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-6401
Mailing Address - Country:US
Mailing Address - Phone:212-473-1907
Mailing Address - Fax:
Practice Address - Street 1:24 W 57TH ST
Practice Address - Street 2:SUITE 702
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3918
Practice Address - Country:US
Practice Address - Phone:212-944-2440
Practice Address - Fax:212-944-2660
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2160171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist