Healthcare Provider Details

I. General information

NPI: 1841293693
Provider Name (Legal Business Name): ARIF QURESHI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2005
Last Update Date: 11/01/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 CLARA BARTON ST
DANSVILLE NY
14437-9503
US

IV. Provider business mailing address

PO BOX 530
DANSVILLE NY
14437-0530
US

V. Phone/Fax

Practice location:
  • Phone: 585-335-2194
  • Fax: 585-335-2197
Mailing address:
  • Phone: 585-335-2194
  • Fax: 585-335-2197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number116038
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: