Individual
ABU BAKKER SIDDIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
260 W SUNRISE HWY # 100, VALLEY STREAM, NY 11581-1011
(516) 791-2790
Mailing address
260 W SUNRISE HWY # 100, VALLEY STREAM, NY 11581-1011
(516) 791-2790
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
011280
NY
Other
Enumeration date
07/23/2025
Last updated
08/11/2025
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