Healthcare Provider Details

I. General information

NPI: 1588093348
Provider Name (Legal Business Name): HUMA NAQVI, MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2013
Last Update Date: 09/23/2021
Certification Date: 09/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2025 CENTRAL PARK AVE
YONKERS NY
10710-2427
US

IV. Provider business mailing address

PO BOX 114
SCARSDALE NY
10583-0114
US

V. Phone/Fax

Practice location:
  • Phone: 914-515-3761
  • Fax:
Mailing address:
  • Phone: 914-515-3761
  • Fax: 201-243-7874

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number226044
License Number StateNY

VIII. Authorized Official

Name: MRS. HUMA NAQVI
Title or Position: OWNER
Credential: MD
Phone: 914-515-3761