Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 263754 | NY |
Y | 111NI0900X | Internist | 263754 | NY |
N | 207RA0401X | Internist - Addiction Medicine | 263754 | NY |
NPI | 1437291689 |
---|---|
Provider Name | Mohsin M Syed |
First Address | New Hartford, NY 13413-1001 |
Second Address | New Hartford, NY 13413-1001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2007 |
Last Update Date | 24/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03442548 | (05) | NY |