Provider Demographics
NPI:1457457855
Name:SYED, IFTIKHAR A (MD)
Entity Type:Individual
Prefix:
First Name:IFTIKHAR
Middle Name:A
Last Name:SYED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 NOTT STREET
Mailing Address - Street 2:SUITE 104
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12308-2589
Mailing Address - Country:US
Mailing Address - Phone:518-370-1814
Mailing Address - Fax:518-370-1830
Practice Address - Street 1:1201 NOTT STREET
Practice Address - Street 2:SUITE 104
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12308-2589
Practice Address - Country:US
Practice Address - Phone:518-370-1814
Practice Address - Fax:518-370-1830
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2010-01-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1428081208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYIS082L0610OtherEMPIRE BLUE CROSS
NY000406335004OtherCOMMUNITY BLUE
NY00486168Medicaid
NY00486168Medicaid
B82181Medicare UPIN