Healthcare Provider Details

I. General information

NPI: 1659725521
Provider Name (Legal Business Name): LAYLA G QAZI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BILAL QAZI MD

II. Dates (important events)

Enumeration Date: 04/18/2016
Last Update Date: 03/24/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

147 MILLER RD
KINNELON NJ
07405-3005
US

IV. Provider business mailing address

27005 76TH AVE
NEW HYDE PARK NY
11040-1402
US

V. Phone/Fax

Practice location:
  • Phone: 973-568-7009
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number319155
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: