Healthcare Provider Details

I. General information

NPI: 1366005688
Provider Name (Legal Business Name): MAHEER MUHAMMAD MASOOD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2019
Last Update Date: 06/25/2024
Certification Date: 06/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3526 FRANCIS LEWIS BLVD
FLUSHING NY
11358-1954
US

IV. Provider business mailing address

660 WHITE PLAINS RD STE 400
TARRYTOWN NY
10591-5107
US

V. Phone/Fax

Practice location:
  • Phone: 718-631-8899
  • Fax: 718-631-4401
Mailing address:
  • Phone: 914-984-2546
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number207Y00000X
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number330179
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: