Provider Demographics
NPI:1326123621
Name:QURESHI, IRFAN A (MD)
Entity Type:Individual
Prefix:
First Name:IRFAN
Middle Name:A
Last Name:QURESHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 CLINTON ST
Mailing Address - Street 2:APT# 5A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-1789
Mailing Address - Country:US
Mailing Address - Phone:718-430-4288
Mailing Address - Fax:718-430-8551
Practice Address - Street 1:111 E 210TH STREET
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-2490
Practice Address - Country:US
Practice Address - Phone:718-430-4288
Practice Address - Fax:718-430-8551
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2405902084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology