Basic Information
Provider Information
NPI: 1003150699
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAYED
FirstName: ABDUL
MiddleName: H
NamePrefix:  
NameSuffix:  
Credential: RPA-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 222 ROCKAWAY TPKE
Address2: SUITE 1
City: CEDARHURST
State: NY
PostalCode: 115161833
CountryCode: US
TelephoneNumber: 5162391800
FaxNumber: 5162395553
Practice Location
Address1: 222 ROCKAWAY TPKE
Address2: SUITE 1
City: CEDARHURST
State: NY
PostalCode: 115161833
CountryCode: US
TelephoneNumber: 5162391800
FaxNumber: 5162395553
Other Information
ProviderEnumerationDate: 11/20/2012
LastUpdateDate: 11/28/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363AM0700X016259NYY Physician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical

No ID Information.


Home