Provider Demographics
NPI:1750684882
Name:QURESHI, MOHAMMAD HAROON
Entity Type:Individual
Prefix:MR
First Name:MOHAMMAD
Middle Name:HAROON
Last Name:QURESHI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2232 PITKIN AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11207-3621
Mailing Address - Country:US
Mailing Address - Phone:718-485-3724
Mailing Address - Fax:718-495-3290
Practice Address - Street 1:2232 PITKIN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11207-3621
Practice Address - Country:US
Practice Address - Phone:718-485-3724
Practice Address - Fax:718-495-3290
Is Sole Proprietor?:No
Enumeration Date:2010-12-12
Last Update Date:2010-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY540107010142048247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other