Siddique, Mohammad A

Siddique, Mohammad A is an sole proprietor health care provider with primary practice located at 17020 84Th Ave , Jamaica NY 11432-2106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Siddique, Mohammad A can be contacted via phone (917) 749-5703.

Contact Information

Primary practice address
17020 84Th Ave Jamaica NY 11432-2106
Phone: (917) 749-5703
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 213150 New York

Profile Details

NPI number 1104951268
LBN Legal business name Siddique, Mohammad A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104951268 NPPES
New York MEDICAID 02060644

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