Individual
MOHAMMAD EJAZ QURESHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
570 WEST 125TH STREET, NEW YORK, NY 10027-3407
(212) 666-6600
Mailing address
570 WEST 125TH STREET, NEW YORK, NY 10027-3407
(212) 666-6600
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
125236
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00234464
—
NY
Enumeration date
12/18/2006
Last updated
07/08/2007
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