| Southside Neonatal Care Pc | |
|
800 Broadway Ave Holbrook NY 11741-4917 | |
| (631) 563-2294 | |
| (631) 589-8946 |
| Full Name | Southside Neonatal Care Pc |
|---|---|
| Speciality | Pediatrics |
| Location | 800 Broadway Ave, Holbrook, New York |
| Authorized Official Name and Position | Foazia Siddiq (MD) |
| Authorized Official Contact | 6313357663 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southside Neonatal Care Pc 800 Broadway Ave Holbrook NY 11741-4917 Ph: (631) 563-2294 | Southside Neonatal Care Pc 800 Broadway Ave Holbrook NY 11741-4917 Ph: (631) 563-2294 |
| NPI Number | 1841095627 |
|---|---|
| Provider Enumeration Date | 02/17/2025 |
| Last Update Date | 06/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841095627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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