Individual
FAISAL SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
180 E PULASKI RD, HUNTINGTON STATION, NY 11746-1915
(631) 425-2121
(631) 425-2158
Mailing address
180 E PULASKI RD, HUNTINGTON STATION, NY 11746-1915
(631) 425-2121
(631) 425-2158
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
210045-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01864997
—
NY
Enumeration date
07/07/2005
Last updated
04/01/2021
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