Individual
PERVAIZ IQBAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11616 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419-1941
(718) 641-1117
(718) 756-1390
Mailing address
10 HARBOR CT E, ROSLYN, NY 11576-2435
(718) 641-1117
(718) 756-1391
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
230198
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02512274
—
NY
Enumeration date
06/14/2006
Last updated
11/13/2024
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