Provider Demographics
NPI:1194713032
Name:SYED, MASOOD H (DDS)
Entity type:Individual
Prefix:DR
First Name:MASOOD
Middle Name:H
Last Name:SYED
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:652 SUFFOLK AVE
Mailing Address - Street 2:SUITE 108
Mailing Address - City:BRENTWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11717-4391
Mailing Address - Country:US
Mailing Address - Phone:361-273-5888
Mailing Address - Fax:631-273-4566
Practice Address - Street 1:652 SUFFOLK AVE
Practice Address - Street 2:SUITE 108
Practice Address - City:BRENTWOOD
Practice Address - State:NY
Practice Address - Zip Code:11717-4391
Practice Address - Country:US
Practice Address - Phone:361-273-5888
Practice Address - Fax:631-273-4566
Is Sole Proprietor?:No
Enumeration Date:2005-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY461651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice