Provider Demographics
NPI:1043675598
Name:FURQAN TEJANI, MD PC
Entity Type:Organization
Organization Name:FURQAN TEJANI, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FURQAN
Authorized Official - Middle Name:H
Authorized Official - Last Name:TEJANI
Authorized Official - Suffix:
Authorized Official - Credentials:M,D,
Authorized Official - Phone:718-930-1133
Mailing Address - Street 1:75 ABBEY PL
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-1715
Mailing Address - Country:US
Mailing Address - Phone:718-930-1133
Mailing Address - Fax:516-822-4167
Practice Address - Street 1:75 ABBEY PL
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1715
Practice Address - Country:US
Practice Address - Phone:718-930-1133
Practice Address - Fax:516-822-4167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-29
Last Update Date:2015-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY241407174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYI13023Medicare UPIN