Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 226282 | NY |
N | 2081P2900X | Pain Medicine | 226282 | NY |
NPI | 1376581835 |
---|---|
Provider Name | Shaheda Quraishi |
First Address | Great Neck, NY 11021 |
Second Address | Great Neck, NY 11021-5207 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2006 |
Last Update Date | 02/03/2021 |