Individual
SHAHEDA QURAISHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
611 NORTHERN BLVD, SUITE 150, GREAT NECK, NY 11021-5207
(516) 325-7000
(516) 325-7001
Mailing address
611 NORTHERN BLVD., SUITE 150, GREAT NECK, NY 11021
(516) 325-7000
(516) 325-7001
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
226282
NY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
226282
NY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
226282
NY
Other
Enumeration date
06/04/2006
Last updated
03/02/2021
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