Healthcare Provider Details

I. General information

NPI: 1578322772
Provider Name (Legal Business Name): USMAN SAEEDULLAH DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/18/2024
Last Update Date: 03/18/2024
Certification Date: 03/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 10TH AVE FL 3
NEW YORK NY
10019-1147
US

IV. Provider business mailing address

820 JILL CT
EAST MEADOW NY
11554-4634
US

V. Phone/Fax

Practice location:
  • Phone: 212-241-2299
  • Fax:
Mailing address:
  • Phone: 516-455-0307
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: