Individual
MR. ANIS REHMAN SIDDIQUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3586 BROADWAY, NEW YORK, NY 10031-3201
(212) 862-3315
Mailing address
2199 JACKSON PL, NORTH BELLMORE, NY 11710-1104
(516) 785-4817
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
33078
NY
Other
Enumeration date
02/16/2010
Last updated
02/16/2010
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