Provider Demographics
NPI:1669762787
Name:QURAISHI, FARAZ (MD)
Entity type:Individual
Prefix:DR
First Name:FARAZ
Middle Name:
Last Name:QURAISHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:FARAZ
Other - Middle Name:ASMAT
Other - Last Name:QURAISHI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2 CATHERINE STREET, P.O. BOX 550
Mailing Address - Street 2:EAST MANHATTAN ANESTHESIA PARTNERS, LLC
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12602
Mailing Address - Country:US
Mailing Address - Phone:866-868-8415
Mailing Address - Fax:815-790-2675
Practice Address - Street 1:310 E 14TH STREET
Practice Address - Street 2:NY EYE EAR INFIRMARY
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003
Practice Address - Country:US
Practice Address - Phone:212-979-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-11
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY299746-01207L00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program