Healthcare Provider Details

I. General information

NPI: 1699737502
Provider Name (Legal Business Name): AARON CIDOR DC, CRNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2006
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CHESTNUT AVE
ALTOONA PA
16601-4926
US

IV. Provider business mailing address

100 CHESTNUT AVE
ALTOONA PA
16601-4926
US

V. Phone/Fax

Practice location:
  • Phone: 814-201-5266
  • Fax: 272-200-0242
Mailing address:
  • Phone: 814-201-5266
  • Fax: 272-200-0242

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC007232L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP012206
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: