Provider Demographics
NPI:1396628277
Name:FAYYAD, FAYZA SA
Entity type:Individual
Prefix:
First Name:FAYZA
Middle Name:SA
Last Name:FAYYAD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 E. ADAMS STREET, SYRACUSE, NY 13210
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13210-1721
Mailing Address - Country:US
Mailing Address - Phone:352-530-0405
Mailing Address - Fax:
Practice Address - Street 1:750 E. ADAMS STREET, SYRACUSE, NY 13210
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210-1721
Practice Address - Country:US
Practice Address - Phone:352-530-0405
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program