Individual
KEDESHA SIDDIQUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14324 184TH ST, SPRINGFIELD GARDENS, NY 11413-3227
(929) 325-9811
Mailing address
14324 184TH ST, SPRINGFIELD GARDENS, NY 11413-3227
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
873048
NY
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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