Provider Demographics
NPI:1497808638
Name:QADER, AFSANA (DPM)
Entity Type:Individual
Prefix:DR
First Name:AFSANA
Middle Name:
Last Name:QADER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3846 FAWN CT
Mailing Address - Street 2:
Mailing Address - City:SHRUB OAK
Mailing Address - State:NY
Mailing Address - Zip Code:10588-1205
Mailing Address - Country:US
Mailing Address - Phone:914-582-8018
Mailing Address - Fax:845-565-3351
Practice Address - Street 1:984 N BROADWAY
Practice Address - Street 2:SUITE L07
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1318
Practice Address - Country:US
Practice Address - Phone:914-327-3390
Practice Address - Fax:914-327-3389
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006174213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery