Organization
BAY SHORE MEDICAL SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYED NISAR AHMAD M.D. (PRESIDENT)
(631) 665-2288
Entity
Organization
Contact information
Practice address
56 W MAIN ST # A, BAY SHORE, NY 11706-8327
(631) 665-2288
Mailing address
56 W MAIN ST # A, BAY SHORE, NY 11706-8327
(631) 665-2288
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
1462241
NY
Other
Enumeration date
06/18/2010
Last updated
06/18/2010
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