Provider Demographics
NPI:1447469416
Name:JAFFRI, QASIM SYED (DO)
Entity type:Individual
Prefix:
First Name:QASIM
Middle Name:SYED
Last Name:JAFFRI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2800 SWEET HOME RD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14228-1300
Mailing Address - Country:US
Mailing Address - Phone:716-691-0639
Mailing Address - Fax:716-691-0410
Practice Address - Street 1:2800 SWEET HOME RD
Practice Address - Street 2:SUITE 8
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14228-1300
Practice Address - Country:US
Practice Address - Phone:716-639-0639
Practice Address - Fax:716-691-0410
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2009-04-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI51010164422084P0800X
NY2520142084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry