Provider Demographics
NPI:1003041948
Name:WARSY, IRFAN AHMED (MBBS)
Entity type:Individual
Prefix:DR
First Name:IRFAN
Middle Name:AHMED
Last Name:WARSY
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:19 BRADHURST AVE
Mailing Address - Street 2:STE 1400
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532-2140
Mailing Address - Country:US
Mailing Address - Phone:914-594-4370
Mailing Address - Fax:914-594-4513
Practice Address - Street 1:282 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-3322
Practice Address - Country:US
Practice Address - Phone:860-545-9147
Practice Address - Fax:860-545-9147
Is Sole Proprietor?:No
Enumeration Date:2009-05-21
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2720292080P0202X
CT487122080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1003041948Medicaid
NY03276762Medicaid
NYA400040982Medicare PIN