Provider Demographics
NPI:1568181014
Name:NASEEHA PSYCHIATRY, PLLC
Entity Type:Organization
Organization Name:NASEEHA PSYCHIATRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RIYAD
Authorized Official - Middle Name:MOHAMMED
Authorized Official - Last Name:ROUF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:518-992-2609
Mailing Address - Street 1:5 COMPUTER DR W STE 100-01
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12205-1613
Mailing Address - Country:US
Mailing Address - Phone:518-992-2609
Mailing Address - Fax:
Practice Address - Street 1:5 COMPUTER DR W STE 100-01
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-1613
Practice Address - Country:US
Practice Address - Phone:518-992-2609
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-25
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1598143323Medicaid