Organization
MOHAMMAD SIDDIQUE PHYSICIAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD A SIDDIQUE M.D. (PHYSICIAN/OWNER)
(718) 739-4343
Entity
Organization
Contact information
Practice address
2146 BEVERLEY RD, BROOKLYN, NY 11226-5406
(718) 604-5402
Mailing address
17020 84TH AVE, JAMAICA, NY 11432-2106
(718) 739-4343
(718) 347-6793
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
213150
NY
Other
Enumeration date
01/20/2009
Last updated
11/19/2009
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