Provider Demographics
NPI:1326360454
Name:SYED, TARIQ MAHMOOD (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:TARIQ
Middle Name:MAHMOOD
Last Name:SYED
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 LEE AVE
Mailing Address - Street 2:
Mailing Address - City:BETHPAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11714-3607
Mailing Address - Country:US
Mailing Address - Phone:516-558-0790
Mailing Address - Fax:
Practice Address - Street 1:2 JERICHO TPKE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON STATION
Practice Address - State:NY
Practice Address - Zip Code:11746-3602
Practice Address - Country:US
Practice Address - Phone:631-425-8871
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-16
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053883183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist