Provider Demographics
NPI:1902982739
Name:AHMAD, SYED T (MD)
Entity Type:Individual
Prefix:DR
First Name:SYED
Middle Name:T
Last Name:AHMAD
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Gender:M
Credentials:MD
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Mailing Address - Street 1:33 FRONT ST
Mailing Address - Street 2:SUITE # 107
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-3601
Mailing Address - Country:US
Mailing Address - Phone:516-505-9042
Mailing Address - Fax:516-505-9489
Practice Address - Street 1:33 FRONT ST
Practice Address - Street 2:SUITE #107
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-3601
Practice Address - Country:US
Practice Address - Phone:516-565-9042
Practice Address - Fax:516-505-9489
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2011-04-20
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Provider Licenses
StateLicense IDTaxonomies
NY192696207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF90226Medicare UPIN