Healthcare Provider Details

I. General information

NPI: 1326965278
Provider Name (Legal Business Name): MADINA DELI LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8646 18TH AVE STE 3
BROOKLYN NY
11214-3758
US

IV. Provider business mailing address

8646 18TH AVE STE 3
BROOKLYN NY
11214-3758
US

V. Phone/Fax

Practice location:
  • Phone: 786-686-0440
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: NAEEM SADIQ
Title or Position: MD
Credential:
Phone: 786-686-0440