Farook J Kidwai MD PC

NPI #1871781534 in Watertown, New York

Provider Information

NPI Number: 1871781534
Entity Type: Organization
Organization Name: Farook J Kidwai MD PC
Primary Specialty: Neurological Surgery
Enumeration Date: Oct 9, 2007
Last Updated: Mar 17, 2018

Practice Location

Address: 1340 WASHINGTON ST
City: Watertown
State: New York
ZIP Code: 13601-4541
Phone: (315) 755-6099

Authorized Official

Name: DR. FAROOK J KIDWAI, M.D.
Title: OWNER
Phone: (315) 755-6099

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X
Neurological Surgery	207T00000X	Primary

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