Provider Demographics
NPI:1972840445
Name:AFSANA QADER, DPM P.C.
Entity Type:Organization
Organization Name:AFSANA QADER, DPM P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AFSANA
Authorized Official - Middle Name:
Authorized Official - Last Name:QADER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:914-582-8018
Mailing Address - Street 1:3846 FAWN CT
Mailing Address - Street 2:
Mailing Address - City:SHRUB OAK
Mailing Address - State:NY
Mailing Address - Zip Code:10588-1205
Mailing Address - Country:US
Mailing Address - Phone:914-582-8018
Mailing Address - Fax:914-365-1227
Practice Address - Street 1:10 MEMORIAL HWY
Practice Address - Street 2:SUITE L07
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-6308
Practice Address - Country:US
Practice Address - Phone:914-632-2067
Practice Address - Fax:914-365-1227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-03
Last Update Date:2017-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006175213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty