| Naushin Siddiqui Physician Pc | |
|
7729 141st St Flushing NY 11367-3293 | |
| (718) 380-8810 | |
| Not Available |
| Full Name | Naushin Siddiqui Physician Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7729 141st St, Flushing, New York |
| Authorized Official Name and Position | Jamal Ahmed Siddiqui (OWNER) |
| Authorized Official Contact | 7183808810 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Naushin Siddiqui Physician Pc 7729 141st St Flushing NY 11367-3293 Ph: (718) 380-8810 | Naushin Siddiqui Physician Pc 7729 141st St Flushing NY 11367-3293 Ph: (718) 380-8810 |
| NPI Number | 1053444638 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9133134364 |
|---|---|
| Medicare Enrollment ID | O20060209000300 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053444638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 220368 (New York) | Primary |
| 207R00000X | Internal Medicine | 221632 (New York) | Secondary |
| Provider Name | Naushin Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639224561 PECOS PAC ID: 5799790861 Enrollment ID: I20090617000680 |
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