National Provider Identifier

Faruk Moinuddin Koreishi, MD

Faruk Moinuddin Koreishi, MD is listed in the NPPES registry with a primary specialty of Ophthalmology Physician in Williamsville, NY and a listed phone number of (716) 632-1595.

NPI 1689745465Williamsville, NYOphthalmology Physician

Profile Overview

NPI
1689745465
Provider Type
Individual
Primary Specialty
Ophthalmology Physician
Enumeration Date
November 13, 2006
Last Updated
May 10, 2016

Practice Location

  • 6637 Main St
  • Williamsville, NY 14221-5974

Phone: (716) 632-1595

Mailing Address

  • 1176 Main St
  • Buffalo, NY 14209-2102

Specialties

  • Ophthalmology Physician (207W00000X)
Full Record
NPI
1689745465
Entity Type
Individual
Last Name
Koreishi
First Name
Faruk
Middle Name
Moinuddin
Name Prefix
Dr.
Credential
MD
Mailing Street Address
1176 Main St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14209-2102
Mailing Country
US
Mailing Phone
(716) 881-7978
Mailing Fax
(716) 887-2991
Practice Street Address
6637 Main St
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-5974
Practice Country
US
Practice Phone
(716) 632-1595
Practice Fax
(716) 204-4895
Enumeration Date
November 13, 2006
Last Updated
May 10, 2016
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Ophthalmology Physician (207W00000X)
Other Identifiers
00615898 (NY)