| Si Medical Practice Associate Pc | |
|
1147 Richmond Road Staten Island NY 10304 | |
| (718) 668-2340 | |
| (718) 668-2523 |
| Full Name | Si Medical Practice Associate Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1147 Richmond Road, Staten Island, New York |
| Authorized Official Name and Position | Azher Siddiqi (OWNER PRESIDENT) |
| Authorized Official Contact | 7186682340 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Si Medical Practice Associate Pc 1147 Richmond Road Staten Island NY 10304 Ph: (718) 668-2340 | Si Medical Practice Associate Pc 1147 Richmond Road Staten Island NY 10304 Ph: (718) 668-2340 |
| NPI Number | 1265505036 |
|---|---|
| Provider Enumeration Date | 11/17/2006 |
| Last Update Date | 02/25/2014 |
| Medicare PECOS PAC ID | 3870523327 |
|---|---|
| Medicare Enrollment ID | O20050816000034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265505036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
| Provider Name | Azher U Siddiqi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568423093 PECOS PAC ID: 5496766917 Enrollment ID: I20060518000052 |
All Island Physician Practice Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 355 Bard Ave, Staten Island, NY 10310 Phone: 718-818-3327 | |
Im Care Family Health Np Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3974 Amboy Rd Ste 302, Staten Island, NY 10308 Phone: 718-967-1071 | |
Richmond Primary Care Specialists, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 305 Seguine Ave, Suite 1, Staten Island, NY 10309 Phone: 718-967-8300 Fax: 718-967-8335 | |
Physicians Of University Hospital Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1042 Huguenot Ave, Staten Island, NY 10312 Phone: 718-317-7556 | |
S & G Medical Services, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3350 Victory Blvd Unit A, Staten Island, NY 10314 Phone: 718-331-6064 | |
Azure Medical Services Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2691 Hylan Blvd Ste 3, Staten Island, NY 10306 Phone: 347-517-9584 | |
Dongan Hills Medical Practice,pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1487 Richmond Rd, Staten Island, NY 10304 Phone: 718-979-3643 Fax: 718-987-2655 |