1. Home
  2. Directory
  3. New York
  4. Staten Island
  5. Early Intervention Provider Agency
  6. NPI Profile

ALISA SIDOROV
NPI 1629460829
Early Intervention Provider Agency in Staten Island, NY

Active since February 24, 2015
21 PALISADE ST, STATEN ISLAND, NY 10305(646) 234-6025(718) 273-0324 Get Directions Write a Review

NPPES record last updated: February 24, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alisa Sidorov NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALISA SIDOROV (NPI 1629460829) is an individual early intervention provider agency provider in Staten Island, New York, licensed in New York (1296222) and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1629460829
Entity TypeIndividualFemale
Primary Taxonomy252Y00000X
Provider Legal NameALISA SIDOROV
Location Address21 PALISADE STStaten Island, NY 10305-4711
Mailing Address21 Palisade StStaten Island, NY 10305-4711 · (646) 234-6025 · Fax (718) 273-0324
Phone(646) 234-6025
Fax(718) 273-0324
Sole ProprietorYes
Enumeration DateFebruary 24, 2015
✔ NPI 1629460829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEarly Intervention Provider AgencyAgencies
Taxonomy Code252Y00000X
License✔ Licensed in NY · 1296222
Definition
Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children's needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development.
21 PALISADE ST, Staten Island, NY 10305
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alisa Sidorov's NPI number?

The NPI number for Alisa Sidorov is 1629460829. It was assigned to this individual provider in the NPPES registry on February 24, 2015.

Where is Alisa Sidorov located?

Alisa Sidorov practices at 21 Palisade St, Staten Island, NY 10305. The listed phone number is (646) 234-6025.

What is Alisa Sidorov's specialty?

The primary specialty registered for this NPI is Early Intervention Provider Agency with taxonomy code 252Y00000X.

When was this NPI record last updated?

The NPPES record for Alisa Sidorov was last updated on February 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.