Individual
ANAM SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16040 78TH RD, FRESH MEADOWS, NY 11366-1969
(347) 475-0911
Mailing address
4500 PARSONS BLVD, FLUSHING, NY 11355-2205
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
291012
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/26/2015
Last updated
08/17/2021
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