Organization
NORTH SHORE CHILD PSYCHIATRY PC
Active
Other names
ISLAND PSYCHIATRIC CARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASRA F SIDDIQI MD (OWNER/OPERATOR)
(631) 623-6868
Entity
Organization
Contact information
Practice address
6277 JERICHO TPKE, COMMACK, NY 11725-2837
(631) 628-6868
(631) 628-6869
Mailing address
6277 JERICHO TPKE, COMMACK, NY 11725-2837
(631) 628-6868
(631) 628-6869
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
232678
NY
Other
Enumeration date
06/14/2012
Last updated
11/16/2023
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