Provider Demographics
NPI:1821357278
Name:QURESHI, SAIRA (RN)
Entity Type:Individual
Prefix:MRS
First Name:SAIRA
Middle Name:
Last Name:QURESHI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 WIN PL
Mailing Address - Street 2:
Mailing Address - City:LAKE GROVE
Mailing Address - State:NY
Mailing Address - Zip Code:11755-2835
Mailing Address - Country:US
Mailing Address - Phone:631-758-1907
Mailing Address - Fax:
Practice Address - Street 1:27 WIN PL
Practice Address - Street 2:
Practice Address - City:LAKE GROVE
Practice Address - State:NY
Practice Address - Zip Code:11755-2835
Practice Address - Country:US
Practice Address - Phone:631-758-1907
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-04
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY634207163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse