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Contact Information

KHAWAJA A SIDDIQUE, MD
235 FOREST AVE
GLEN COVE, NY11542-2034
 Phone: 516-671-7770
 Fax: 516-671-6372
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Integrative Medicine

202D00000X
 

Obesity Medicine

2083B0002X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for KHAWAJA A SIDDIQUE · (Male)

NPI # 1750636635
Status Active
Credentials MD
Entity Individual
Enumeration date 07/17/2012
Last updated 05/24/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NY License # 280349
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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