IndividualActive
Asra Siddiqi, MD
NPI 1013007715 · Child & Adolescent Psychiatry Physician · Commack, NY
Provider details
- NPI number
- 1013007715
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2023036404 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
6277 Jericho Turnpike
Commack, NY 11725
Phone: (631) 742-7378
Fax: (631) 979-1768
Approximate (ZIP-level) locationGet directions
Mailing address
6277 Jericho Turnpike
Commack, NY 11725
Registry dates
- Enumerated
- 2006-10-13
- Last updated
- 2024-07-17
- Certified
- 2024-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.