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Organization
SOUTHSIDE NEONATAL CARE PC
Active
Organization
SOUTHSIDE NEONATAL CARE PC
Active
Other names
Pediatric Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FOAZIA SIDDIQ MD (MD)
(631) 335-7663
Entity
Organization
Contact information
Practice address
800 BROADWAY AVE, HOLBROOK, NY 11741-4917
(631) 563-2294
(631) 589-8946
Mailing address
800 BROADWAY AVE, HOLBROOK, NY 11741-4917
(631) 563-2294
(631) 589-8946
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
02/17/2025
Last updated
06/18/2025
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