Koraishy, Farrukh Mansoor
Koraishy, Farrukh Mansoor is an sole proprietor health care provider with primary practice located at 101 Nicolls Rd , Stony Brook NY 11794-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Koraishy, Farrukh Mansoor can be contacted via phone (631) 444-1617.Contact Information
Primary practice address
101 Nicolls Rd
Stony Brook NY 11794-0001
Phone: (631) 444-1617
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301079643 | Michigan |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 300229 | New York |
Profile Details
| NPI number | 1336108760 |
|---|---|
| LBN Legal business name | Koraishy, Farrukh Mansoor |
| Credentials | MD, PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Jun 22nd, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336108760 | NPPES |
| Michigan | Other | 110F376980 | BCBSM |
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