Organization
SIDDIQI MEDICAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMAILA SIDDIQI MD (PRESIDENT)
(917) 528-8922
Entity
Organization
Contact information
Practice address
ARCHCARE AT MARY MANNING WALSH HOME, 1339 YORK AVENUE, NEW YORK, NY 10021
(212) 628-2800
Mailing address
500 E 85TH ST APT 15H, NEW YORK, NY 10028-7406
(917) 528-8922
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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