Provider Demographics
NPI:1013108513
Name:SIDDIQUI, FARAH (MD)
Entity Type:Individual
Prefix:DR
First Name:FARAH
Middle Name:
Last Name:SIDDIQUI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 WAYNE CT
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10941-1168
Mailing Address - Country:US
Mailing Address - Phone:845-239-1427
Mailing Address - Fax:
Practice Address - Street 1:4 FEATHERS DR
Practice Address - Street 2:ADIRONDACK INTERVENTIONAL
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-6461
Practice Address - Country:US
Practice Address - Phone:518-324-7246
Practice Address - Fax:518-324-3366
Is Sole Proprietor?:No
Enumeration Date:2007-08-08
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY265062208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation