Provider Demographics
NPI:1588988778
Name:QURESHI, SANA (PHARM D)
Entity type:Individual
Prefix:
First Name:SANA
Middle Name:
Last Name:QURESHI
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 CENTRAL BLVD
Mailing Address - Street 2:
Mailing Address - City:BETHPAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11714-4624
Mailing Address - Country:US
Mailing Address - Phone:646-239-2179
Mailing Address - Fax:
Practice Address - Street 1:9815 HORACE HARDING EXPY
Practice Address - Street 2:PROFESSIONAL UNIT 1K
Practice Address - City:CORONA
Practice Address - State:NY
Practice Address - Zip Code:11368
Practice Address - Country:US
Practice Address - Phone:718-535-7454
Practice Address - Fax:718-313-9740
Is Sole Proprietor?:No
Enumeration Date:2010-03-17
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054006183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist