Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Candida Tsidemidis I

Individual provider General Practice Registered Nurse · NPI 1619747813

Mary Candida Tsidemidis I is a General Practice Registered Nurse in Saint James, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2024

Practice location Address checks out

295 7th Ave
Saint James, NY 11780-2436
Phone: (631) 487-1627
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Registered Nurse (primary) Taxonomy 163WG0000X · Licence 336883-01 (NY)

Record details

NPI number1619747813
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 8, 2024
Last updated in NPPESJanuary 8, 2024
Certification dateJanuary 8, 2024
Mailing address56 Knott Dr, Glen Cove, NY 11542-4143

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