Healthcare Provider Details

I. General information

NPI: 1366372773
Provider Name (Legal Business Name): MAZHAR KHURSHID NP FAMILY HEALTH P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7009 AUSTIN ST STE 204
FOREST HILLS NY
11375-1012
US

IV. Provider business mailing address

7009 AUSTIN ST STE 204
FOREST HILLS NY
11375-1012
US

V. Phone/Fax

Practice location:
  • Phone: 703-477-9506
  • Fax:
Mailing address:
  • Phone: 703-477-9506
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MAZHAR KHURSHID
Title or Position: PRESIDENT
Credential: FNP-BC
Phone: 703-477-9506