Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 277493 | NY |
Y | 2081P2900X | Pain Medicine | 277493 | NY |
NPI | 1154641702 |
---|---|
Provider Name | Dr. Adnan Anwer Qureshi |
First Address | Flushing, NY 11367-2633 |
Second Address | Bronx, NY 10473-1320 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2010 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
04034608 | (05) | NY |