Provider Demographics
NPI:1295597185
Name:QURESHI, SUNIYA HAROON (OTR/L)
Entity type:Individual
Prefix:
First Name:SUNIYA
Middle Name:HAROON
Last Name:QURESHI
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 NEW YORK AVE
Mailing Address - Street 2:
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-1502
Mailing Address - Country:US
Mailing Address - Phone:516-658-3270
Mailing Address - Fax:
Practice Address - Street 1:191 -2 90TH AVENUE
Practice Address - Street 2:PS 35
Practice Address - City:QUEENS
Practice Address - State:NY
Practice Address - Zip Code:11423
Practice Address - Country:US
Practice Address - Phone:718-465-6820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY028765225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist