Provider Demographics
NPI:1528380284
Name:SIDDIQUI, SALMAN ANIS (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SALMAN
Middle Name:ANIS
Last Name:SIDDIQUI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2199 JACKSON PL
Mailing Address - Street 2:
Mailing Address - City:NORTH BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-1104
Mailing Address - Country:US
Mailing Address - Phone:516-785-4817
Mailing Address - Fax:
Practice Address - Street 1:918 MAIN ST
Practice Address - Street 2:
Practice Address - City:SOUTH FARMINGDALE
Practice Address - State:NY
Practice Address - Zip Code:11735-5426
Practice Address - Country:US
Practice Address - Phone:516-845-5235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-23
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY53880183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist