Individual
DR. ANIQA IRFAN GORGANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
325 PARK AVE, HUNTINGTON, NY 11743
(631) 659-4454
Mailing address
325 PARK AVE, HUNTINGTON, NY 11743-2779
(631) 659-4454
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
290894
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04922959
—
NY
Enumeration date
06/20/2014
Last updated
09/22/2022
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