Individual
SYED KAZIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
130 W KINGSBRIDGE RD, DEPT. OF VETERANS AFFAIRS/JAMES J PETERS VA MED.CENTER, BRONX, NY 10468-3904
(718) 584-9000
Mailing address
141-25 71 AVE, FLUSHING, NY 11367-1940
(347) 351-9470
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
223476
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
223476
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223476
NY STATE LICENSE #
NY
Enumeration date
05/12/2006
Last updated
06/03/2016
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