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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 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 1336108760 NPPES
Michigan Other 110F376980 BCBSM

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