Healthcare Provider Details

I. General information

NPI: 1811639305
Provider Name (Legal Business Name): AQSA NADEEM DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2022
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 CROSS RIVER RD
KATONAH NY
10536-3549
US

IV. Provider business mailing address

169 N MAIN ST APT 301
PORT CHESTER NY
10573-6315
US

V. Phone/Fax

Practice location:
  • Phone: 914-763-8151
  • Fax:
Mailing address:
  • Phone: 914-525-3188
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number344634
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: