Provider Demographics
NPI:1083932313
Name:RIZVI, SYED TAUSIF
Entity Type:Individual
Prefix:MR
First Name:SYED
Middle Name:TAUSIF
Last Name:RIZVI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:708 SAW MILL RIVER RD
Mailing Address - Street 2:
Mailing Address - City:ARDSLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10502-1817
Mailing Address - Country:US
Mailing Address - Phone:914-693-2003
Mailing Address - Fax:914-693-3557
Practice Address - Street 1:708 SAW MILL RIVER RD
Practice Address - Street 2:
Practice Address - City:ARDSLEY
Practice Address - State:NY
Practice Address - Zip Code:10502-1817
Practice Address - Country:US
Practice Address - Phone:914-693-2003
Practice Address - Fax:914-693-3557
Is Sole Proprietor?:No
Enumeration Date:2010-05-11
Last Update Date:2010-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY043094183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist