Provider Demographics
NPI:1477367043
Name:AWAN, FURQAN FAHEEM
Entity type:Individual
Prefix:
First Name:FURQAN
Middle Name:FAHEEM
Last Name:AWAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2781 CYPRESS AVE
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-4305
Mailing Address - Country:US
Mailing Address - Phone:516-262-0788
Mailing Address - Fax:
Practice Address - Street 1:2781 CYPRESS AVE
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-4305
Practice Address - Country:US
Practice Address - Phone:516-262-0788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant