| Usman Siddiqui MD | |
|
311 N Midland Ave Ste 2 Nyack NY 10960-1638 | |
| (845) 358-5006 | |
| (845) 358-4340 |
| Full Name | Usman Siddiqui MD |
|---|---|
| Speciality | Internal Medicine |
| Location | 311 N Midland Ave Ste 2, Nyack, New York |
| Authorized Official Name and Position | Usman Siddiqui (OWNER) |
| Authorized Official Contact | 8453585006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Usman Siddiqui MD 311 N Midland Ave Ste 2 Nyack NY 10960-1638 Ph: (845) 358-5006 | Usman Siddiqui MD 311 N Midland Ave Ste 2 Nyack NY 10960-1638 Ph: (845) 358-5006 |
| NPI Number | 1659147130 |
|---|---|
| Provider Enumeration Date | 11/27/2023 |
| Last Update Date | 03/05/2024 |
| Certification Date | 03/05/2024 |
| Medicare PECOS PAC ID | 5294188173 |
|---|---|
| Medicare Enrollment ID | O20240126002258 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659147130 | NPI | - | NPPES |
| 294940 | Other | NY | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Usman Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356774491 PECOS PAC ID: 2769727106 Enrollment ID: I20181213000425 |
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