Provider Demographics
NPI:1225314941
Name:RIZVI, SYED ALAY HASSAN (MD)
Entity Type:Individual
Prefix:DR
First Name:SYED
Middle Name:ALAY HASSAN
Last Name:RIZVI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-3111
Mailing Address - Country:US
Mailing Address - Phone:516-507-9352
Mailing Address - Fax:
Practice Address - Street 1:STONY BROOK UFPC 100 NICHOLLS ROAD
Practice Address - Street 2:
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-3111
Practice Address - Country:US
Practice Address - Phone:516-507-9352
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-26
Last Update Date:2019-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY263274207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine