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

Mr. Marshall Sidman, BENEFITSCOORDINATOR

Individual provider Peer Specialist · NPI 1255956116

Mr. Marshall Sidman, BENEFITSCOORDINATOR is a Peer Specialist in Jackson Heights, New York. Licensed in New York. Registered with an NPI since 2020.

Licensed in
NY
In the registry since
2020

Practice location Address checks out

9114 37th Ave
Jackson Heights, NY 11372-7920
Phone: (718) 779-1600
Fax: (347) 612-4162
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence NYCPS-P-1715 (NY)

Record details

NPI number1255956116
Entity typeIndividual (Type 1)
GenderMale
Credentials BENEFITSCOORDINATOR
Sole proprietorNo
NPI enumeratedJune 16, 2020
Last updated in NPPESJune 16, 2020
Certification dateJune 16, 2020

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