Provider Demographics
NPI:1053631606
Name:YAZDANI, SYED ASMAR (MD,MBBS)
Entity Type:Individual
Prefix:
First Name:SYED
Middle Name:ASMAR
Last Name:YAZDANI
Suffix:
Gender:M
Credentials:MD,MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8244 COUNTRY POINTE CIR
Mailing Address - Street 2:
Mailing Address - City:QUEENS VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11427-3002
Mailing Address - Country:US
Mailing Address - Phone:516-503-3367
Mailing Address - Fax:
Practice Address - Street 1:300 COMMUNITY DR
Practice Address - Street 2:
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030-3816
Practice Address - Country:US
Practice Address - Phone:516-562-4863
Practice Address - Fax:516-562-1521
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-06
Last Update Date:2010-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program