Basic Information
| Provider Information | |||||||||
| NPI: | 1326454877 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SIDDIQUI | ||||||||
| FirstName: | FAYSAL | ||||||||
| MiddleName: | EQBAL | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD; DPM | ||||||||
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| Mailing Information | |||||||||
| Address1: | 600 E 233RD ST | ||||||||
| Address2: | ORTHOPEDICS DEPARTMENT | ||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104662604 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7189209000 | ||||||||
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| Practice Location | |||||||||
| Address1: | 600 EAST 233 STREET | ||||||||
| Address2: | MONTEFIORE MEDICAL CENTER | ||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10466 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7189209000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/05/2014 | ||||||||
| LastUpdateDate: | 03/10/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 213E00000X | AM186658680O | NY | Y | Podiatric Medicine & Surgery Service Providers | Podiatrist |
No ID Information.