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General NPI Number Information
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NPI Number | 1033813001
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Entity Type | Individual
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Provider Name | AJWAIRIA ASLAM QURESHI PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/27/2023
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 1 GUSTAVE L LEVY PL
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City | NEW YORK
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State | NY
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Zip | 10029-6504
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Country | US
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Telephone | 718-267-4286
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Fax |
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Provider Business Mailing Address
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Address Line | 30 E CARMANS RD
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City | FARMINGDALE
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State | NY
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Zip | 11735-3833
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Country | US
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Telephone | 845-300-4109
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 25MP00772100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 029753
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License Number State | NY
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