Provider Demographics
NPI:1467769646
Name:LIMSON, SIDNIE (RPA-C)
Entity Type:Individual
Prefix:
First Name:SIDNIE
Middle Name:
Last Name:LIMSON
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7320 220TH ST.
Mailing Address - Street 2:1ST FL
Mailing Address - City:OAKLAND GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11364
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1250 WATERS PL. MONTEFIORE MEDICAL CENTER
Practice Address - Street 2:DEPARTMENT OF ORTHOPAEDIC SURGERY, 11TH FL
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461
Practice Address - Country:US
Practice Address - Phone:347-577-4565
Practice Address - Fax:347-577-4442
Is Sole Proprietor?:No
Enumeration Date:2010-09-09
Last Update Date:2011-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014036363A00000X
NY1070571363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant