Individual
SAUD ALEISSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 EAST 73RD STREET, NEW YORK, NY 10022
(703) 896-8004
Mailing address
530 EAST 73RD STREET, NEW YORK, NY 10022
(703) 896-8004
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
263596
MA
207N00000X
Dermatology Physician
Primary
293878
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2014
Last updated
03/30/2020
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