Provider Demographics
NPI:1992498224
Name:AGILE MEDICAL CARE, PC
Entity type:Organization
Organization Name:AGILE MEDICAL CARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADNAN
Authorized Official - Middle Name:
Authorized Official - Last Name:QURESHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-520-8811
Mailing Address - Street 1:130 JERICHO TPKE STE C
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11001-2000
Mailing Address - Country:US
Mailing Address - Phone:646-520-8811
Mailing Address - Fax:646-354-7665
Practice Address - Street 1:130 JERICHO TPKE STE C
Practice Address - Street 2:
Practice Address - City:FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11001-2000
Practice Address - Country:US
Practice Address - Phone:646-520-8811
Practice Address - Fax:646-354-7665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-01
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty