Ireny Gobran Sidhom

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

11-346-5690

Practice address

2201 Hempstead Tpke
East Meadow, NY 11554-5400

Phone

(516) 296-8629

NPI assigned

Apr 10, 2025

Sex

Unspecified or another gender identity

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1043005168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 HEMPSTEAD TPKE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115545400",
            "telephone_number": "516-572-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 HEMPSTEAD TPKE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115545400",
            "telephone_number": "516-296-8629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOBRAN SIDHOM",
        "first_name": "IRENY",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": "11-346-5690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soha Girguis
• Yam Raj Giri, MD
• Sindhuja Giridharan, MD
• Morgan Gliniak, LCAT, ATR-BC
• Jenoj Gnana, MD
• Neha Goel, MD
• Arash Gohari, MD
• Pouyan Gohari, MD
• Marlene Donna Gold, LMHC
• Dana Goldberg, LCSW-R

• Student in an Organized Health Care Education/Training Program in East Meadow, NY
• Providers in East Meadow, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.