Healthcare Provider Details

I. General information

NPI: 1558337675
Provider Name (Legal Business Name): NAVEED IQBAL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2006
Last Update Date: 10/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 W MAIN ST SUITE 206
ELMSFORD NY
10523-2416
US

IV. Provider business mailing address

5 W MAIN ST SUITE 206
ELMSFORD NY
10523-2416
US

V. Phone/Fax

Practice location:
  • Phone: 914-345-9154
  • Fax:
Mailing address:
  • Phone: 914-345-9154
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number165906-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: