Syed Eajazul Haq PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

119740 Issued in NY

Legal business name

SYED EAJAZUL HAQ PC

Practice address

474 Niagara Falls Blvd
Suite 4
Tonawanda, NY 14223-2647

Phone

(716) 833-3697

Fax

(716) 833-3698

NPI assigned

Nov 10, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Eajaz H Syed, MD

Title

President

Phone

(716) 833-3697

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332460800000",
    "number": "1922385582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 NIAGARA FALLS BLVD",
            "address_2": "SUITE 4",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "142232647",
            "telephone_number": "716-833-3697",
            "fax_number": "716-833-3698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 NIAGARA FALLS BLVD",
            "address_2": "SUITE 4",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "142232647",
            "telephone_number": "716-833-3697",
            "fax_number": "716-833-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYED EAJAZUL HAQ PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-10",
        "last_updated": "2012-03-23",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "EAJAZ",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-833-3697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "119740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deness Renique Sullivan
• Jacinta Marie Sullivan, R.PH.
• Katherine Colleen Sullivan, PHARMD
• Sylvia Michelle Swaggard, LPN
• Karina Swann
• Kristina Sykes
• Andrew Bruce Symons, MD
• Kelsey Tabbi
• Frederick Lacaste Tabliago, MPT
• Melissa Nicole Tanner, LMSW

• Primary Care Clinic/Center in Tonawanda, NY
• Providers in Tonawanda, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.