Provider Demographics
NPI:1477645315
Name:AHMED, FARUQUE (DO)
Entity type:Individual
Prefix:
First Name:FARUQUE
Middle Name:
Last Name:AHMED
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:275 NORTHPOINTE PKWY
Mailing Address - Street 2:SUITE 50
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228-1895
Mailing Address - Country:US
Mailing Address - Phone:716-834-1193
Mailing Address - Fax:716-639-1382
Practice Address - Street 1:3728 77TH ST
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-6630
Practice Address - Country:US
Practice Address - Phone:718-200-0723
Practice Address - Fax:516-706-6026
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2014-03-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY241611208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery