Provider Demographics
NPI:1275562415
Name:SAIF, MOHAMMED
Entity Type:Individual
Prefix:DR
First Name:MOHAMMED
Middle Name:
Last Name:SAIF
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 1:15 COACHMAN PL W
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-3048
Mailing Address - Country:US
Mailing Address - Phone:516-798-6363
Mailing Address - Fax:
Practice Address - Street 1:672 BROADWAY
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-2316
Practice Address - Country:US
Practice Address - Phone:516-798-6363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY196528207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01537553Medicaid
NY78J581Medicare ID - Type Unspecified
NY01537553Medicaid