Organization
SIDDHARTH T.PANDYA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIDDHARTH T PANDYA MD (PHYSICIAN)
(718) 418-6040
Entity
Organization
Contact information
Practice address
127 ST.NICHOLAS AVE., BROOKLYN, NY 11237
(718) 418-6040
(718) 418-6047
Mailing address
3 EMBRYFARM ROAD, MARLBORO, NJ 07746
(718) 418-6040
(718) 418-6047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
189510
NY
2084N0400X
Neurology Physician
Primary
189510
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01707395
—
NY
Enumeration date
07/24/2008
Last updated
07/24/2008
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