National Provider Identifier
Laura Therese Sidari, M.D.
Laura Therese Sidari, M.D. is listed in the NPPES registry with a primary specialty of Psychiatry Physician in Ithaca, NY and a listed phone number of (607) 882-2388.
Profile Overview
- NPI
- 1881950665
- Provider Type
- Individual
- Primary Specialty
- Psychiatry Physician
- Enumeration Date
- April 06, 2012
- Last Updated
- October 14, 2021
Practice Location
- 905 Hanshaw Road
- Suite C
- Ithaca, NY 14850
Phone: (607) 882-2388
Specialties
- Psychiatry Physician (2084P0800X)
- Psychiatry Physician (2084P0800X)
Full Record
- NPI
- 1881950665
- Entity Type
- Individual
- Last Name
- Sidari
- First Name
- Laura
- Middle Name
- Therese
- Name Prefix
- Dr.
- Credential
- M.D.
- Provider Other Last Name
- Lyman
- Provider Other First Name
- Laura
- Provider Other Middle Name
- Therese
- Provider Other Name Prefix Text
- MS.
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 905 Hanshaw Road
- Mailing Address Line 2
- Suite C
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850
- Mailing Country
- US
- Mailing Phone
- (607) 882-2388
- Practice Street Address
- 905 Hanshaw Road
- Practice Address Line 2
- Suite C
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850
- Practice Country
- US
- Practice Phone
- (607) 882-2388
- Enumeration Date
- April 06, 2012
- Last Updated
- October 14, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 2
- 193200000X Multi-Specialty Group
- Certification Date
- October 14, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatry Physician (2084P0800X), Psychiatry Physician (2084P0800X)