Provider Demographics
NPI:1003130600
Name:HUSAIN, JABIR H (BPHARM)
Entity Type:Individual
Prefix:MR
First Name:JABIR
Middle Name:H
Last Name:HUSAIN
Suffix:
Gender:M
Credentials:BPHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1526 CORTELYOU RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-5608
Mailing Address - Country:US
Mailing Address - Phone:718-282-7660
Mailing Address - Fax:718-282-5152
Practice Address - Street 1:1526 CORTELYOU RD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-5608
Practice Address - Country:US
Practice Address - Phone:718-282-7660
Practice Address - Fax:718-282-5152
Is Sole Proprietor?:No
Enumeration Date:2010-03-25
Last Update Date:2010-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030494183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist