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Organization
MIDWOOD GENERAL AND PHYSICAL MEDICINE, P.C.
Active
Organization
MIDWOOD GENERAL AND PHYSICAL MEDICINE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARRUQ SIDDIQUI M.D. (OWNER)
(646) 725-8283
Entity
Organization
Contact information
Practice address
1122 CONEY ISLAND AVE, SUITE 205, BROOKLYN, NY 11230-2345
(718) 725-8341
Mailing address
62 NEWBERRY AVE, 1C, STATEN ISLAND, NY 10304-4144
(646) 725-8283
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
260559
NY
Other
Enumeration date
02/02/2012
Last updated
03/23/2012
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