Individual
SABAH SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
121 DEKALB AVE, BROOKLYN, NY 11201-5493
(718) 250-8284
Mailing address
121 DEKALB AVE, BROOKLYN, NY 11201-5493
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
291220-01
NY
207RC0000X
Cardiovascular Disease Physician
Primary
291220-01
NY
207RI0011X
Interventional Cardiology Physician
291220-01
NY
Other
Enumeration date
03/27/2014
Last updated
08/29/2023
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