Organization
FAROOK J KIDWAI MD PC
Active
Organization
FAROOK J KIDWAI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAROOK J KIDWAI M.D. (OWNER)
(315) 755-6099
Entity
Organization
Contact information
Practice address
1340 WASHINGTON ST, WATERTOWN, NY 13601-4541
(315) 755-6099
Mailing address
1340 WASHINGTON ST, WATERTOWN, NY 13601-4541
(315) 755-6099
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
140410168
MI
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
10/09/2007
Last updated
03/17/2018
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