Provider Demographics
NPI:1992743124
Name:NAQVI, SYED W (MD)
Entity type:Individual
Prefix:
First Name:SYED
Middle Name:W
Last Name:NAQVI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8116 LEFFERTS BLVD
Mailing Address - Street 2:
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415-1729
Mailing Address - Country:US
Mailing Address - Phone:718-850-4370
Mailing Address - Fax:718-732-1472
Practice Address - Street 1:8742 169TH ST
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-3632
Practice Address - Country:US
Practice Address - Phone:718-206-1685
Practice Address - Fax:718-732-1472
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2013-08-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY2122742084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01955435Medicaid
H04061Medicare UPIN
NY03S001Medicare ID - Type UnspecifiedEMPIRE MEDICARE