Provider Demographics
NPI:1629017215
Name:SYED, SHERAZ
Entity Type:Individual
Prefix:MR
First Name:SHERAZ
Middle Name:
Last Name:SYED
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:152 EAST 118TH STREET
Mailing Address - Street 2:S1
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10035-4087
Mailing Address - Country:US
Mailing Address - Phone:212-987-6500
Mailing Address - Fax:212-987-6505
Practice Address - Street 1:152 EAST 118TH STREET
Practice Address - Street 2:S1
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035-4087
Practice Address - Country:US
Practice Address - Phone:212-987-6500
Practice Address - Fax:212-987-6505
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023510225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist