MEDICARE: DR. NEDUNCHEZIAN SITHIAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	125292	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619954997
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NEDUNCHEZIAN SITHIAN M.D.

Provider Business Mailing Address
First Line	:	1130 VICTORY BLVD
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10301-3623
Country	:	US
Telephone Number	:	718-448-5400
Fax Number	:	718-720-4989

Provider Business Practice Location Address
First Line	:	1130 VICTORY BLVD
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10301-3623
Country	:	US
Telephone Number	:	718-448-5400
Fax Number	:	718-720-4989

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/28/2005
Last Update Date	:	04/23/2008

Similar Medicare Providers

1447255930 — RICHARD M STEINBRUCK MD
Practice Location Address:

1130 VICTORY BLVD , RICHMOND SURGICAL ASSOCIATES PLLC
STATEN ISLAND, NY
10301-3623

Practice Phone: 718-447-5211
Practice Fax: 718-273-6635

1043298581 — STEPHEN W HORNYAK M.D.
Practice Location Address:

1130 VICTORY BLVD
STATEN ISLAND, NY
10301-3623

Practice Phone: 718-442-3400
Practice Fax: 718-720-4989

1659334993 — MRS. MACRINA M REYES RPAC MS
Practice Location Address:

1130 VICTORY BLVD
STATEN ISLAND, NY
10301-3623

Practice Phone: 718-273-2277
Practice Fax: 718-720-4989

1780730077 — DR. ALEXANDER ANTHONY ESPOSITO JR. D.C.
Practice Location Address:

1154 VICTORY BLVD
STATEN ISLAND, NY
10301-3623

Practice Phone: 718-448-9272
Practice Fax: 718-448-9144

1366745846 — STATEN ISLAND SURGICAL ASSOCIATES, PC
Practice Location Address:

1130 VICTORY BLVD
STATEN ISLAND, NY
10301-3623

Practice Phone: 718-448-5400
Practice Fax:

1356684484 — ALEXANDER ESPOSITO JR DC PLLC
Practice Location Address:

1154 VICTORY BLVD
STATEN ISLAND, NY
10301-3623

Practice Phone: 718-448-9272
Practice Fax: 718-448-9144

Directions to “ DR. NEDUNCHEZIAN SITHIAN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.