Individual
TAREQ ALQASAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 WOODS RD, VALHALLA, NY 10595-1530
(914) 493-7000
Mailing address
100 WOODS RD, VALHALLA, NY 10595-1530
(914) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
323406-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912428749
—
NY
Enumeration date
07/01/2017
Last updated
04/16/2024
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