Basic Information
| Provider Information | |||||||||
| NPI: | 1568667327 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SADIKOT | ||||||||
| FirstName: | CINDY | ||||||||
| MiddleName: | NM | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | MUI | ||||||||
| OtherFirstName: | CINDY | ||||||||
| OtherMiddleName: | N | ||||||||
| OtherNamePrefix: | |||||||||
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| OtherCredential: | MD | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 18219 HORACE HARDING EXPY | ||||||||
| Address2: | NYHQ AMBULATORY CARE CENTER | ||||||||
| City: | FRESH MEADOWS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 113652242 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7186702903 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 18219 HORACE HARDING EXPY | ||||||||
| Address2: | NYHQ AMBULATORY CARE CENTER | ||||||||
| City: | FRESH MEADOWS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 113652242 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7186702903 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/20/2007 | ||||||||
| LastUpdateDate: | 03/03/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| AuthorizedOfficialMiddleName: | |||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 251781 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.