Individual
ABDULSAMAD SHAHID SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1250 WATERS PL STE 1205, BRONX, NY 10461-2735
(347) 943-7422
Mailing address
54 E MAUJER ST, VALLEY STREAM, NY 11580-4324
(917) 858-2275
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
051779
NY
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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