Provider Demographics
NPI:1780200899
Name:RIZVI, SYED Y
Entity Type:Individual
Prefix:
First Name:SYED
Middle Name:Y
Last Name:RIZVI
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 1:7035 PARSONS BLVD
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11365-3049
Mailing Address - Country:US
Mailing Address - Phone:346-998-0291
Mailing Address - Fax:877-870-9357
Practice Address - Street 1:7035 PARSONS BLVD
Practice Address - Street 2:
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11365-3049
Practice Address - Country:US
Practice Address - Phone:346-998-0291
Practice Address - Fax:877-870-9357
Is Sole Proprietor?:No
Enumeration Date:2020-06-24
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide