MEDICARE: QAISER AFRIDI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1982163291
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	QAISER AFRIDI

Provider Business Mailing Address
First Line	:	1043 HICKSVILLE RD
Second Line	:
City	:	SEAFORD
State	:	NY
Zip	:	11783-1327
Country	:	US
Telephone Number	:	516-359-9977
Fax Number	:

Provider Business Practice Location Address
First Line	:	1043 HICKSVILLE RD
Second Line	:
City	:	SEAFORD
State	:	NY
Zip	:	11783-1327
Country	:	US
Telephone Number	:	516-359-9977
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2019
Last Update Date	:	03/16/2019

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Directions to “ QAISER AFRIDI ” Practice Location

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