Provider Demographics
NPI:1598215808
Name:HAZIZ-RAMADHAN, SAIDAH (LM)
Entity Type:Individual
Prefix:MRS
First Name:SAIDAH
Middle Name:
Last Name:HAZIZ-RAMADHAN
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 S MONTGOMERY AVE
Mailing Address - Street 2:
Mailing Address - City:BAY SHORE
Mailing Address - State:NY
Mailing Address - Zip Code:11706-8806
Mailing Address - Country:US
Mailing Address - Phone:631-297-4285
Mailing Address - Fax:
Practice Address - Street 1:16 S MONTGOMERY AVE
Practice Address - Street 2:
Practice Address - City:BAY SHORE
Practice Address - State:NY
Practice Address - Zip Code:11706-8806
Practice Address - Country:US
Practice Address - Phone:631-297-4285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-11
Last Update Date:2016-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF001760-1176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife