Provider Demographics
NPI:1982748307
Name:NAYEEM, SYED ABDUL (MD)
Entity type:Individual
Prefix:DR
First Name:SYED
Middle Name:ABDUL
Last Name:NAYEEM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 SICKLES PL
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-3807
Mailing Address - Country:US
Mailing Address - Phone:914-632-0400
Mailing Address - Fax:
Practice Address - Street 1:25 SICKLES PL
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-3807
Practice Address - Country:US
Practice Address - Phone:914-632-0400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-18
Last Update Date:2015-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY129892207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB12831Medicare UPIN
NY317091SNMedicare ID - Type Unspecified
NY317091SNMedicare PIN