Laura Therese Sidari, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

299418 Issued in NY

Practice address

905 Hanshaw Road
Suite C
Ithaca, NY 14850

Phone

(607) 882-2388

NPI assigned

Apr 6, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Laura Therese Lyman Former name

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cayuga Medical Associates, PC

  • Internal Medicine Physician
  • Ithaca, NY
  • NPI 1679525455

  Multi-Specialty

  Medicare reassignment NPD
• Cayuga Medical Center at Ithaca

  • General Acute Care Hospital
  • Ithaca, NY
  • NPI 1164547303

  Multi-Specialty

  Medicare reassignment NPD
• Cayuga Medical Center at Ithaca

  • Specialty Pharmacy
  • Ithaca, NY
  • NPI 1730596131
  NPD
• Cayuga Pathology PLLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Ithica, NY
  • NPI 1427625508

  Multi-Specialty

  NPD
• Cornell University

  • Student Health Clinic/Center
  • Ithaca, NY
  • NPI 1073584926

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1881950665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 HANSHAW ROAD",
            "address_2": "SUITE C",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "14850",
            "telephone_number": "607-882-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 HANSHAW ROAD",
            "address_2": "SUITE C",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "14850",
            "telephone_number": "607-882-2388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "59 MHS/SGOWV1, 2200 Bergquist Drive Ste 1",
            "address_2": "Lackland AFB",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AA",
            "postal_code": "78236",
            "country_code": "US",
            "telephone_number": "210-292-5941",
            "fax_number": "210-292-5944",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "SIDARI",
        "first_name": "LAURA",
        "middle_name": "THERESE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-06",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101256239",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "299418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "LYMAN",
            "middle_name": "THERESE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tasfia Siam
• Christina Siau
• Lori Beth Sibley, RN
• Wendy Sicina, LPN
• Anthony Paul Sidari, M.D.
• Debra Siegert, MSED,RD,CSR,CDN,CDE
• Caryl Patrice Silberman, R.N.
• Walter C Silbert, MD
• Phaelon H. Silva, MD
• Joelle Silverman-Hrubes, LMSW

• Psychiatry Physician in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.