Provider Demographics
NPI:1902833254
Name:ASAD, SYED N (MD)
Entity Type:Individual
Prefix:
First Name:SYED
Middle Name:N
Last Name:ASAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 133
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-0133
Mailing Address - Country:US
Mailing Address - Phone:516-426-0510
Mailing Address - Fax:516-908-4373
Practice Address - Street 1:256 BROADWAY
Practice Address - Street 2:
Practice Address - City:HUNTINGTON STATION
Practice Address - State:NY
Practice Address - Zip Code:11746-1403
Practice Address - Country:US
Practice Address - Phone:631-421-4320
Practice Address - Fax:631-421-2832
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY109799207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology