RUSSEL SIDDIQUE

BROOKLYN, NY
NPI1144041161
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  311905)
Enumeration Date2024-10-22
Last Update Date2024-10-22
Business Address
RUSSEL SIDDIQUE NP
150 55TH ST
BROOKLYN, NY 11220-2508
Phone number: 718-630-7000
Mailing Address
RUSSEL SIDDIQUE NP
22433 UNION TPKE UNIT B
OAKLAND GARDENS, NY 11364-3631
Phone number: 347-859-2588