Provider Demographics
NPI:1437290913
Name:ISKANDER, NAHED S (MD)
Entity Type:Individual
Prefix:
First Name:NAHED
Middle Name:S
Last Name:ISKANDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5112 WEST TAFT ROAD
Mailing Address - Street 2:SUITE L
Mailing Address - City:LIVERPOOL
Mailing Address - State:NY
Mailing Address - Zip Code:13088
Mailing Address - Country:US
Mailing Address - Phone:315-452-2500
Mailing Address - Fax:315-452-2510
Practice Address - Street 1:104 UNION AVENUE
Practice Address - Street 2:SUITE 806-807
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13203
Practice Address - Country:US
Practice Address - Phone:315-474-0542
Practice Address - Fax:315-474-4340
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2014-01-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY237636207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02858102Medicaid
NYRB3846Medicare PIN