| Organization Name: | EUGENE J. SIDOTI, JR., MD, PC |
| NPI Number: | 1073822888 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EUGENE JOHN SIDOTI (OWNER) |
| Mailing Address: | 688 White Plains Rd Suite 220 Scarsdale |
| State: | NY US |
| Postal Code: | 105835059 |
| Phone Number: | 9144727200 |
| Fax Number: | 9144727527 |
| NPI Enumeration Date: | 09/28/2010 |
| NPI Last Update Date: | 09/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0122X |
| License Number: | 175407 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Plastic and Reconstructive Surgery |
| Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |