Provider Demographics
NPI:1629375274
Name:QURESHI, ANITA SOHAIL (PA)
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:SOHAIL
Last Name:QURESHI
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:1345 RXR PLZ FL 13
Mailing Address - Street 2:
Mailing Address - City:UNIONDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11556-1301
Mailing Address - Country:US
Mailing Address - Phone:516-453-0435
Mailing Address - Fax:646-846-3283
Practice Address - Street 1:2178 WHITE PLAINS RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-1406
Practice Address - Country:US
Practice Address - Phone:718-489-3555
Practice Address - Fax:718-489-3556
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-17
Last Update Date:2018-11-28
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Provider Licenses
StateLicense IDTaxonomies
NY014184363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant