Provider Demographics
NPI:1083820104
Name:HUSSAIN, FARAH (MD)
Entity Type:Individual
Prefix:DR
First Name:FARAH
Middle Name:
Last Name:HUSSAIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:FARAH
Other - Middle Name:
Other - Last Name:FAISAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:55 DUNROVIN LN
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-4813
Mailing Address - Country:US
Mailing Address - Phone:585-272-1789
Mailing Address - Fax:315-585-3061
Practice Address - Street 1:4887 STATE ROUTE 96A
Practice Address - Street 2:
Practice Address - City:ROMULUS
Practice Address - State:NY
Practice Address - Zip Code:14541-9767
Practice Address - Country:US
Practice Address - Phone:315-585-3041
Practice Address - Fax:315-585-3061
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2701372084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYJ400005207OtherMEDICARE NUMER UNDER UNITY HEALTH SYSTEM'S TAX ID