Provider Demographics
NPI:1922330281
Name:IQBAL, NASIR (PHARMD)
Entity Type:Individual
Prefix:
First Name:NASIR
Middle Name:
Last Name:IQBAL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:732 ALLERTON AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-8702
Mailing Address - Country:US
Mailing Address - Phone:718-519-0572
Mailing Address - Fax:
Practice Address - Street 1:732 ALLERTON AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-8702
Practice Address - Country:US
Practice Address - Phone:718-519-0572
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-10
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053575183500000X
NJ28RI03293000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist