Healthcare Provider Details

I. General information

NPI: 1013846161
Provider Name (Legal Business Name): AMMARAH TARIQ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 DUBOIS STREET
NEWBURGH NY
12550
US

IV. Provider business mailing address

HOUSE NO. 1343, STREET NO. 02, G-14/4 ISLAMABAD
ISLAMABAD FEDERAL CAPITAL
44000
PK

V. Phone/Fax

Practice location:
  • Phone: 845-654-6399
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: