Individual
DR. FARUK MOINUDDIN KOREISHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6637 MAIN ST, WILLIAMSVILLE, NY 14221-5974
(716) 632-1595
(716) 204-4895
Mailing address
1176 MAIN ST, BUFFALO, NY 14209-2102
(716) 881-7978
(716) 887-2991
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
119187
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00615898
—
NY
Enumeration date
11/13/2006
Last updated
05/10/2016
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