Provider Demographics
NPI:1366325565
Name:SIU, MONICA PRISCILLA
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:PRISCILLA
Last Name:SIU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7342 53RD AVE
Mailing Address - Street 2:
Mailing Address - City:MASPETH
Mailing Address - State:NY
Mailing Address - Zip Code:11378-1511
Mailing Address - Country:US
Mailing Address - Phone:718-715-9901
Mailing Address - Fax:
Practice Address - Street 1:7342 53RD AVE
Practice Address - Street 2:
Practice Address - City:MASPETH
Practice Address - State:NY
Practice Address - Zip Code:11378-1511
Practice Address - Country:US
Practice Address - Phone:718-715-9901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program