Provider Demographics
NPI:1396726824
Name:RAFIQ, AMERHA (MD)
Entity type:Individual
Prefix:DR
First Name:AMERHA
Middle Name:
Last Name:RAFIQ
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:55 WATER STREET
Mailing Address - Street 2:2ND FLOOR CRED DEPT
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10041-0010
Mailing Address - Country:US
Mailing Address - Phone:646-680-2888
Mailing Address - Fax:516-542-5556
Practice Address - Street 1:215 WEST 125TH STREET
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027
Practice Address - Country:US
Practice Address - Phone:212-491-2400
Practice Address - Fax:212-491-2401
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2021-10-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY199762208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY016-39243Medicaid
NYG72826Medicare UPIN