Provider Demographics
NPI:1245963206
Name:RIAZ, SADIA (PHLEBOTOMIST)
Entity type:Individual
Prefix:MRS
First Name:SADIA
Middle Name:
Last Name:RIAZ
Suffix:
Gender:F
Credentials:PHLEBOTOMIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8623 5TH AVE APT 2R
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-5241
Mailing Address - Country:US
Mailing Address - Phone:347-228-0199
Mailing Address - Fax:929-219-1101
Practice Address - Street 1:8623 5TH AVE APT 2R
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-5241
Practice Address - Country:US
Practice Address - Phone:347-228-0199
Practice Address - Fax:929-219-1101
Is Sole Proprietor?:No
Enumeration Date:2022-07-07
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3019910686246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy