Healthcare Provider Details

I. General information

NPI: 1174442909
Provider Name (Legal Business Name): SANIYA MOHSIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 GRASSLANDS RD
VALHALLA NY
10595-1543
US

IV. Provider business mailing address

104 STERLING CT
STAFFORD VA
22554-7579
US

V. Phone/Fax

Practice location:
  • Phone: 914-381-2996
  • Fax:
Mailing address:
  • Phone: 571-666-1969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberP143979
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: