Provider Demographics
NPI:1952448276
Name:ABDULLAH, SYED (MD)
Entity Type:Individual
Prefix:MR
First Name:SYED
Middle Name:
Last Name:ABDULLAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2 HAWK STREET
Mailing Address - Street 2:
Mailing Address - City:PEARL RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:10965-2810
Mailing Address - Country:US
Mailing Address - Phone:845-735-5078
Mailing Address - Fax:845-735-0318
Practice Address - Street 1:2 HAWK STREET
Practice Address - Street 2:
Practice Address - City:PEARL RIVER
Practice Address - State:NY
Practice Address - Zip Code:10965-2810
Practice Address - Country:US
Practice Address - Phone:845-735-5078
Practice Address - Fax:845-735-0318
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY10792312084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB79025Medicare UPIN
712671Medicare ID - Type Unspecified