Sophia Siddiqui, | |
355 Bard Ave, Staten Island, NY 10310-1664 | |
(718) 818-2419 | |
Not Available |
Full Name | Sophia Siddiqui |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 9 Years |
Location | 355 Bard Ave, Staten Island, New York |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679956239 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A160176 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Family Healthcare Network | 6305756339 | 46 |
Entity Name | Family Healthcare Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164517744 PECOS PAC ID: 6305756339 Enrollment ID: O20040123000681 |
Mailing Address | Practice Location Address |
---|---|
Sophia Siddiqui, 305 E Center Ave, Visalia, CA 93291-6331 Ph: (559) 737-4700 | Sophia Siddiqui, 355 Bard Ave, Staten Island, NY 10310-1664 Ph: (718) 818-2419 |
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Dr. Gustave Stephen Drivas, M.D., Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5405 Hylan Blvd, Staten Island, NY 10312 Phone: 718-948-3890 Fax: 718-948-3961 | |
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