Provider Demographics
NPI:1104148188
Name:NAQVI, SYED I
Entity type:Individual
Prefix:MR
First Name:SYED
Middle Name:I
Last Name:NAQVI
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:SYED
Other - Middle Name:I
Other - Last Name:NAQVI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMACIST
Mailing Address - Street 1:7 DUCHESS CT
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746-6047
Mailing Address - Country:US
Mailing Address - Phone:631-491-8555
Mailing Address - Fax:718-274-6942
Practice Address - Street 1:3112 BROADWAY
Practice Address - Street 2:
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11106-2666
Practice Address - Country:US
Practice Address - Phone:718-728-1212
Practice Address - Fax:718-274-6942
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-18
Last Update Date:2010-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY30261183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist