National Provider Identifier
Sidra Gill
Sidra Gill is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Fairport, NY and a listed phone number of (302) 233-5660.
Profile Overview
- NPI
- 1811737414
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- May 30, 2024
- Last Updated
- May 30, 2024
Practice Location
- 4646 Fairport Nine Mile PT RD
- Fairport, NY 14450-1163
Phone: (302) 233-5660
Mailing Address
- 600 E Crescent Ave
- Upper Saddle River, NJ 07458-1846
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1811737414
- Entity Type
- Individual
- Last Name
- Gill
- First Name
- Sidra
- Mailing Street Address
- 600 E Crescent Ave
- Mailing City
- Upper Saddle River
- Mailing State
- NJ
- Mailing ZIP Code
- 07458-1846
- Mailing Country
- US
- Practice Street Address
- 4646 Fairport Nine Mile PT RD
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-1163
- Practice Country
- US
- Practice Phone
- (302) 233-5660
- Enumeration Date
- May 30, 2024
- Last Updated
- May 30, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- May 30, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)