Healthcare Provider Details

I. General information

NPI: 1447676903
Provider Name (Legal Business Name): PRECISION SURGERY OF NEW YORK PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2014
Last Update Date: 04/30/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

139 PLANDOME RD
MANHASSET NY
11030-2331
US

IV. Provider business mailing address

139 PLANDOME RD
MANHASSET NY
11030-2331
US

V. Phone/Fax

Practice location:
  • Phone: 516-439-5160
  • Fax: 516-439-5161
Mailing address:
  • Phone: 516-439-5160
  • Fax: 516-439-5161

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number248812
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. SYED MUJAHID SAYEED
Title or Position: OWNER
Credential: MD
Phone: 917-916-2325