Healthcare Provider Details

I. General information

NPI: 1811252646
Provider Name (Legal Business Name): USMAN SYED RIAZ M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2012
Last Update Date: 04/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1510 WATERS PL
BRONX NY
10461-2700
US

IV. Provider business mailing address

883 CRANFORED AVENUE
NORTH WOODMERE NY
11581
US

V. Phone/Fax

Practice location:
  • Phone: 718-829-3440
  • Fax:
Mailing address:
  • Phone: 347-239-8521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number283475
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number283475
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number283475
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: