Healthcare Provider Details

I. General information

NPI: 1144151796
Provider Name (Legal Business Name): DR. MUHAMMAD FAROOQ DURRANI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 HICKSVILLE RD
BETHPAGE NY
11714-3446
US

IV. Provider business mailing address

225 HICKSVILLE RD
BETHPAGE NY
11714-3446
US

V. Phone/Fax

Practice location:
  • Phone: 516-315-4948
  • Fax: 516-315-4948
Mailing address:
  • Phone: 516-315-4948
  • Fax: 516-315-4948

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZC0006X
TaxonomyClinical Pathology Physician
License Number013272
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: