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

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