Provider Demographics
NPI:1003586470
Name:UDDIN, NAIMA SIDDIKA (PHARMD RPH)
Entity Type:Individual
Prefix:DR
First Name:NAIMA
Middle Name:SIDDIKA
Last Name:UDDIN
Suffix:
Gender:F
Credentials:PHARMD RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15930 JAMAICA AVE
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-6001
Mailing Address - Country:US
Mailing Address - Phone:718-658-7998
Mailing Address - Fax:718-658-2854
Practice Address - Street 1:15930 JAMAICA AVE
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-6001
Practice Address - Country:US
Practice Address - Phone:718-658-7998
Practice Address - Fax:718-658-2854
Is Sole Proprietor?:No
Enumeration Date:2021-09-16
Last Update Date:2021-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY068180183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist