Syedqambar R Naqvi Physician P.c. | |
107 West Main Street East Islip NY 11730 | |
(631) 688-1015 | |
(631) 688-1700 |
Full Name | Syedqambar R Naqvi Physician P.c. |
---|---|
Speciality | Psychiatry & Neurology |
Location | 107 West Main Street, East Islip, New York |
Authorized Official Name and Position | Syedqambar R Naqvi (CREDENTIALIGN SPECIALIST) |
Authorized Official Contact | 6316661615 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Syedqambar R Naqvi Physician P.c. 107 West Main Street East Islip NY 11730 Ph: (631) 688-1015 | Syedqambar R Naqvi Physician P.c. 107 West Main Street East Islip NY 11730 Ph: (631) 688-1015 |
NPI Number | 1003469222 |
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Provider Enumeration Date | 07/17/2019 |
Last Update Date | 07/17/2019 |
Medicare PECOS PAC ID | 0446581185 |
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Medicare Enrollment ID | O20191011000566 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003469222 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Syedqambar Naqvi |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1700811973 PECOS PAC ID: 1557366317 Enrollment ID: I20060929000042 |
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