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

Shanise Dyane Siddo

Individual provider Registered Nurse · NPI 1053208462

Shanise Dyane Siddo is a Registered Nurse in Albany, New York. Licensed in New York. Registered with an NPI since 2025.

Licensed in
NY
In the registry since
2025

Practice location Address checks out

75 New Scotland Ave
Albany, NY 12208-3409
Phone: (518) 549-6616
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 710596 (NY)

Record details

NPI number1053208462
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 19, 2025
Last updated in NPPESJune 19, 2025
Certification dateJune 18, 2025
Mailing address75 Willett St Apt 1k, Albany, NY 12210-1016

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