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Contact Information

FAROOK J KIDWAI MD PC
1340 WASHINGTON ST
WATERTOWN, NY13601-4541
 Phone: 315-755-6099
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for FAROOK J KIDWAI MD PC · (Female)

NPI # 1871781534
Status Active
Credentials
Entity Individual
Enumeration date 10/09/2007
Last updated 03/17/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # 140410168
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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