Individual
MS. NAWAL SIAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3066 35TH ST, ASTORIA, NY 11103-4702
(718) 278-1919
(718) 278-7516
Mailing address
3066 35TH ST, ASTORIA, NY 11103-4702
(718) 278-1919
(718) 278-7516
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
130130
NY
208000000X
Pediatrics Physician
130130
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01663758
—
NY
01
—
20E621
BCBS
—
Enumeration date
10/06/2005
Last updated
10/05/2010
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