National Provider Identifier
Donna R. Sandidge, M.D.
Donna R. Sandidge, M.D. is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Ithaca, NY and a listed phone number of (607) 252-3590.
Profile Overview
- NPI
- 1770557209
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- February 13, 2006
- Last Updated
- January 12, 2016
Practice Location
- 310 Taughannock Blvd
- Suite 310
- Ithaca, NY 14850-3251
Phone: (607) 252-3590
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1770557209
- Entity Type
- Individual
- Last Name
- Sandidge
- First Name
- Donna
- Middle Name
- R.
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 310 Taughannock Blvd
- Mailing Address Line 2
- Suite 310
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-3251
- Mailing Country
- US
- Mailing Phone
- (607) 252-3590
- Mailing Fax
- (607) 252-3592
- Practice Street Address
- 310 Taughannock Blvd
- Practice Address Line 2
- Suite 310
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-3251
- Practice Country
- US
- Practice Phone
- (607) 252-3590
- Practice Fax
- (607) 252-3592
- Enumeration Date
- February 13, 2006
- Last Updated
- January 12, 2016
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)
- Other Identifiers
- 02154516 (NY), 030004925 (NY, Rr Medicare Pin), CC8362 (NY, Rr Medicare Group), 0018306520001 (PA)