Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Khizar Ahmed Siddiqui, PA

Individual provider Medical Physician Assistant · NPI 1710856323

Khizar Ahmed Siddiqui, PA is a Medical Physician Assistant in Lynbrook, New York. Licensed in New York. Registered with an NPI since 2025.

Licensed in
NY
In the registry since
2025
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

360 Merrick Rd Ste 300
Lynbrook, NY 11563-2526
Phone: (516) 256-2017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X (NY)

Record details

NPI number1710856323
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 3, 2025
Last updated in NPPESNovember 3, 2025
Certification dateNovember 2, 2025

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