Healthcare Provider Details

I. General information

NPI: 1972073153
Provider Name (Legal Business Name): FIZZA SAEED D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/29/2018
Last Update Date: 02/02/2022
Certification Date: 02/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 COLD SPRING RD. SUITE 102A
SYOSSET NY
11791-3109
US

IV. Provider business mailing address

99 COLD SPRING RD. SUITE 102A
SYOSSET NY
11791-3109
US

V. Phone/Fax

Practice location:
  • Phone: 516-921-1295
  • Fax: 516-496-2860
Mailing address:
  • Phone: 516-921-1295
  • Fax: 516-496-2860

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberX013157-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: