Individual
SIDRAH MAHMUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
181 N BELLE MEAD AVE STE 5, EAST SETAUKET, NY 11733-3495
(631) 444-2599
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-2599
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25MA11145300
NJ
2084N0400X
Neurology Physician
300068
NY
2084N0400X
Neurology Physician
56386
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2014
Last updated
09/17/2025
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