Provider Demographics
NPI:1942731989
Name:SYED, USAMA MOHAMMAD (MBBS, BSC (HONS))
Entity Type:Individual
Prefix:DR
First Name:USAMA
Middle Name:MOHAMMAD
Last Name:SYED
Suffix:
Gender:M
Credentials:MBBS, BSC (HONS)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 E 93RD ST
Mailing Address - Street 2:APARTMENT 2B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-5503
Mailing Address - Country:US
Mailing Address - Phone:631-612-4874
Mailing Address - Fax:
Practice Address - Street 1:1000 10TH AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-1147
Practice Address - Country:US
Practice Address - Phone:631-612-4874
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-22
Last Update Date:2017-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program