Individual
IMAAN J SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2167 LENOX RD, SCHENECTADY, NY 12308-1306
(516) 721-9113
Mailing address
2167 LENOX RD, SCHENECTADY, NY 12308-1306
(516) 721-9113
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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