Individual
NILAB AYOOB-SIDIQI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 TECHNOLOGY CENTER DR, STOUGHTON, MA 02072-4710
(781) 566-5066
Mailing address
12 CORNWALL LN, HICKSVILLE, NY 11801-3740
(646) 245-6515
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
059478-1
NY
Other
Enumeration date
08/04/2014
Last updated
08/29/2023
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