Siddique, Mohammed A
Siddique, Mohammed A is an sole proprietor health care provider with primary practice located at 7607 101St Ave , Ozone Park NY 11416-1934. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Siddique, Mohammed A can be contacted via phone (718) 848-2555.Contact Information
Primary practice address
7607 101St Ave
Ozone Park NY 11416-1934
Phone: (718) 848-2555
Fax: (718) 848-4097
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 186856 | New York |
Profile Details
| NPI number | 1871699470 |
|---|---|
| LBN Legal business name | Siddique, Mohammed A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 15th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871699470 | NPPES |
| New York | MEDICAID | 01381108 |
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