MEDICARE: SAEEDA SIDDIQUI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZC0500X	Cytopathology Physician	1364131	NY
2	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	1364131	NY
3	207ZP0213X	Pediatric Pathology Physician	1364131	NY

General Provider Information

NPI Number	:	1932511128
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAEEDA SIDDIQUI

Provider Business Mailing Address
First Line	:	1 SYLVAN PKWY
Second Line	:
City	:	WEST AMHERST
State	:	NY
Zip	:	14228-1134
Country	:	US
Telephone Number	:	716-568-5249
Fax Number	:	716-568-5241

Provider Business Practice Location Address
First Line	:	1 SYLVAN PKWY
Second Line	:
City	:	WEST AMHERST
State	:	NY
Zip	:	14228-1134
Country	:	US
Telephone Number	:	716-568-5249
Fax Number	:	716-568-5241

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2014
Last Update Date	:	05/22/2014

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Directions to “ SAEEDA SIDDIQUI ” Practice Location

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