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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