Provider Demographics
NPI:1780564567
Name:SIDI, ANDREW (MFT-LP)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:SIDI
Suffix:
Gender:M
Credentials:MFT-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 JEROLD ST
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-3736
Mailing Address - Country:US
Mailing Address - Phone:516-261-1820
Mailing Address - Fax:
Practice Address - Street 1:101 HILLSIDE AVE STE D
Practice Address - Street 2:
Practice Address - City:WILLISTON PARK
Practice Address - State:NY
Practice Address - Zip Code:11596-2310
Practice Address - Country:US
Practice Address - Phone:516-261-1820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist