Provider Demographics
NPI:1538346119
Name:QURESHI, MOHAMMAD RASHID (RPH)
Entity type:Individual
Prefix:MR
First Name:MOHAMMAD
Middle Name:RASHID
Last Name:QURESHI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2030 HILLSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-2608
Mailing Address - Country:US
Mailing Address - Phone:516-354-8942
Mailing Address - Fax:516-488-3634
Practice Address - Street 1:2030 HILLSIDE AVE
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-2608
Practice Address - Country:US
Practice Address - Phone:516-354-8942
Practice Address - Fax:516-488-3634
Is Sole Proprietor?:No
Enumeration Date:2008-01-26
Last Update Date:2008-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031923183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist