MEDICARE: TASMI SIDDIQUE MA, CF-SLP

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	235Z00000X	Speech-Language Pathologist	03627601	NY

General Provider Information

NPI Number	:	1588492698
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TASMI SIDDIQUE MA, CF-SLP

Provider Business Mailing Address
First Line	:	1824 MCGRAW AVE APT B
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10472-1956
Country	:	US
Telephone Number	:	646-934-4024
Fax Number	:

Provider Business Practice Location Address
First Line	:	1824 MCGRAW AVE APT B
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10472-1956
Country	:	US
Telephone Number	:	646-934-4024
Fax Number	:

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

Provider Enumeration Date	:	07/22/2024
Last Update Date	:	12/13/2025

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Directions to “ TASMI SIDDIQUE MA, CF-SLP” Practice Location

Language	Start Address	Practice Location

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