Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 50056408 | NY |
NPI | 1063763100 |
---|---|
Provider Name | Dr. Zohair Mazhar Qureshi |
First Address | Pittsford, NY 14534-4301 |
Second Address | Rochester, NY 14626-1848 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2012 |
Last Update Date | 05/02/2015 |