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

Individual provider Psychiatry Physician · NPI 1760457188

Mian A. Siddique, MD is a Psychiatry in Brooklyn, New York. Qualified in 1973, 53 years ago. Practices with Interborough Developmental and Consultation Center Inc, a 152-clinician group and offers telehealth. Licensed in New York.

Years since qualifying
53
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

451 Clarkson Ave G-21
Brooklyn, NY 11203-2057
Phone: (718) 245-3635
Fax: (718) 245-2321
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 221508 (NY)

Record details

NPI number1760457188
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 20, 2006
Last updated in NPPESMay 9, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 1973 (53 years in practice)
Group practice Interborough Developmental And Consultation Center Inc — 152 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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