Healthcare Provider Details

I. General information

NPI: 1497376396
Provider Name (Legal Business Name): NBAA MASOOD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2020
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

281 1ST AVE
NEW YORK NY
10003-2925
US

IV. Provider business mailing address

281 1ST AVENUE
NY NY
10010
US

V. Phone/Fax

Practice location:
  • Phone: 212-420-2000
  • Fax:
Mailing address:
  • Phone: 212-420-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number330586
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: