Provider Demographics
NPI:1265494728
Name:SIAL, TAHIRA N (MD)
Entity type:Individual
Prefix:MISS
First Name:TAHIRA
Middle Name:N
Last Name:SIAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:TAHIRA
Other - Middle Name:N
Other - Last Name:SIAL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2502 INGLEWOOD STREET
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554
Mailing Address - Country:US
Mailing Address - Phone:516-222-2747
Mailing Address - Fax:516-222-2784
Practice Address - Street 1:1975 HEMPSTEAD TURNPIKE
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554
Practice Address - Country:US
Practice Address - Phone:516-222-2747
Practice Address - Fax:516-222-2784
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-03
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY221649-12084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02695027Medicaid
NY02695027Medicaid
NYH71609Medicare UPIN