Provider Demographics
NPI:1457119992
Name:SYDNEY HEALTH XPRES, LLC
Entity Type:Organization
Organization Name:SYDNEY HEALTH XPRES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DNP, FNP-BC, CEN, CPEN
Authorized Official - Prefix:MR
Authorized Official - First Name:SYDNEY
Authorized Official - Middle Name:ISRAEL
Authorized Official - Last Name:MALIMPENET
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:516-697-2252
Mailing Address - Street 1:3211 ASTORIA BLVD
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11102-1133
Mailing Address - Country:US
Mailing Address - Phone:929-424-3838
Mailing Address - Fax:
Practice Address - Street 1:3211 ASTORIA BLVD
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11102-1133
Practice Address - Country:US
Practice Address - Phone:929-424-3838
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty