Provider Demographics
NPI:1932511128
Name:SIDDIQUI, SAEEDA
Entity Type:Individual
Prefix:
First Name:SAEEDA
Middle Name:
Last Name:SIDDIQUI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 SYLVAN PKWY
Mailing Address - Street 2:
Mailing Address - City:WEST AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228-1134
Mailing Address - Country:US
Mailing Address - Phone:716-568-5249
Mailing Address - Fax:716-568-5241
Practice Address - Street 1:1 SYLVAN PKWY
Practice Address - Street 2:
Practice Address - City:WEST AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228-1134
Practice Address - Country:US
Practice Address - Phone:716-568-5249
Practice Address - Fax:716-568-5241
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-22
Last Update Date:2014-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1364131207ZC0500X, 207ZP0102X, 207ZP0213X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology
No207ZP0213XAllopathic & Osteopathic PhysiciansPathologyPediatric Pathology