Provider Demographics
NPI:1427029727
Name:SYED, RIAZ SIBTAIN (MD)
Entity type:Individual
Prefix:DR
First Name:RIAZ
Middle Name:SIBTAIN
Last Name:SYED
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Gender:M
Credentials:MD
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Mailing Address - Street 1:892 E BRIGHTON AVE
Mailing Address - Street 2:STE 2
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13205-2542
Mailing Address - Country:US
Mailing Address - Phone:315-475-3178
Mailing Address - Fax:888-864-2731
Practice Address - Street 1:109 S WARREN ST
Practice Address - Street 2:SUITE 1605
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13202-1798
Practice Address - Country:US
Practice Address - Phone:315-475-3178
Practice Address - Fax:315-682-3879
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-27
Last Update Date:2017-01-09
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Provider Licenses
StateLicense IDTaxonomies
NY1376592084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYD74967Medicare UPIN