Basir Quddusi, Shazia I

Basir Quddusi, Shazia I is an sole proprietor health care provider with primary practice located at 9777 Queens Blvd Ph, Rego Park NY 11374-3335. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Basir Quddusi, Shazia I can be contacted via phone (718) 218-5439.

Contact Information

Primary practice address
9777 Queens Blvd Ph Rego Park NY 11374-3335
Fax: (718) 228-4434
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1417219692
LBN Legal business name Basir Quddusi, Shazia I
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2012
Last updated Jun 13th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417219692 NPPES
New York Other 16472 SERVICE COORDINATION

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