Individual
AZHER SIDDIQI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1147 RICHMOND RD, STATEN ISLAND, NY 10304-2423
(718) 668-2340
(718) 668-2523
Mailing address
1147 RICHMOND RD, STATEN ISLAND, NY 10304-2423
(718) 668-2340
(718) 668-2523
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
175020
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01090501
—
NY
Enumeration date
04/01/2006
Last updated
05/24/2013
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