Basic Information
| Provider Information | |||||||||
| NPI: | 1700510609 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | USMAN | ||||||||
| FirstName: | SUMYYIA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 150 EILEEN WAY UNIT 1 | ||||||||
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| City: | SYOSSET | ||||||||
| State: | NY | ||||||||
| PostalCode: | 117915313 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5168555255 | ||||||||
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| Practice Location | |||||||||
| Address1: | 41 MAINE AVE | ||||||||
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| City: | ROCKVILLE CENTRE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 115703614 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5165367730 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/15/2022 | ||||||||
| LastUpdateDate: | 07/15/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/15/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 112368 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.