Provider Demographics
NPI:1376515155
Name:JAFRI, SYED A Q (MD)
Entity Type:Individual
Prefix:DR
First Name:SYED
Middle Name:A Q
Last Name:JAFRI
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 1:330 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-3705
Mailing Address - Country:US
Mailing Address - Phone:212-684-7640
Mailing Address - Fax:212-684-7649
Practice Address - Street 1:330 3RD AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-3705
Practice Address - Country:US
Practice Address - Phone:212-684-7640
Practice Address - Fax:212-684-7649
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY115158207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
569081Medicare ID - Type Unspecified
B16650Medicare UPIN