Provider Demographics
NPI:1487981189
Name:ELIZABETH D CIDONI
Entity type:Organization
Organization Name:ELIZABETH D CIDONI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:DARLENE
Authorized Official - Last Name:CIDONI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-707-4212
Mailing Address - Street 1:28 SATELLITE DR
Mailing Address - Street 2:
Mailing Address - City:ISLIP TERRACE
Mailing Address - State:NY
Mailing Address - Zip Code:11752-2914
Mailing Address - Country:US
Mailing Address - Phone:516-707-4212
Mailing Address - Fax:
Practice Address - Street 1:28 SATELLITE DR
Practice Address - Street 2:
Practice Address - City:ISLIP TERRACE
Practice Address - State:NY
Practice Address - Zip Code:11752-2914
Practice Address - Country:US
Practice Address - Phone:516-707-4212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-17
Last Update Date:2009-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY463320282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital