Individual
DR. FOAZIA SIDDIQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 BROADWAY AVE, SUITE D, HOLBROOK, NY 11741-4917
(631) 563-2294
(631) 589-8946
Mailing address
800 BROADWAY AVE, SUITE D, HOLBROOK, NY 11741-4917
(631) 563-2294
(631) 589-8946
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
153260
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00872573
—
NY
Enumeration date
12/18/2006
Last updated
07/08/2007
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