Provider Demographics
NPI:1750569075
Name:SYED, FOUZIA (MD)
Entity type:Individual
Prefix:
First Name:FOUZIA
Middle Name:
Last Name:SYED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:834 CONEY ISLAND AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-5310
Mailing Address - Country:US
Mailing Address - Phone:718-859-5717
Mailing Address - Fax:718-469-0111
Practice Address - Street 1:834 CONEY ISLAND AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-5310
Practice Address - Country:US
Practice Address - Phone:718-859-5171
Practice Address - Fax:718-469-0111
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-08
Last Update Date:2016-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036117639207R00000X
NY244019207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine