Provider Demographics
NPI:1750649240
Name:RAZZAQ-AHMED, SEBEEN (DO)
Entity Type:Individual
Prefix:DR
First Name:SEBEEN
Middle Name:
Last Name:RAZZAQ-AHMED
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:295 E MEADOW AVE
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-2937
Mailing Address - Country:US
Mailing Address - Phone:516-222-0311
Mailing Address - Fax:
Practice Address - Street 1:295 E MEADOW AVE
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-2937
Practice Address - Country:US
Practice Address - Phone:516-222-0311
Practice Address - Fax:516-357-3683
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-02
Last Update Date:2018-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY265114207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine