Individual
MEVISH S SIDDIQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
710 W 168TH ST, NEW YORK, NY 10032-3726
(212) 305-7062
Mailing address
710 W 168TH ST RM 1409, NEW YORK, NY 10032-3726
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
336659
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2021
Last updated
05/09/2025
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