Provider Demographics
NPI:1619067840
Name:QUADIR, LAYLA (MD)
Entity Type:Individual
Prefix:DR
First Name:LAYLA
Middle Name:
Last Name:QUADIR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 KNOLL LN
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11746-1337
Mailing Address - Country:US
Mailing Address - Phone:631-271-7431
Mailing Address - Fax:631-271-7431
Practice Address - Street 1:5 KNOLL LN
Practice Address - Street 2:
Practice Address - City:HUNTINGTON STATION
Practice Address - State:NY
Practice Address - Zip Code:11746-1337
Practice Address - Country:US
Practice Address - Phone:631-271-7431
Practice Address - Fax:631-271-7431
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNY152151208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00795744Medicaid
NY00795744Medicaid
NYG58068Medicare UPIN