Provider Demographics
NPI:1255652657
Name:LONG ISLAND KIDNEY AND HYPERTENSION PC
Entity Type:Organization
Organization Name:LONG ISLAND KIDNEY AND HYPERTENSION PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DO
Authorized Official - Prefix:DR
Authorized Official - First Name:ABRAR
Authorized Official - Middle Name:
Authorized Official - Last Name:HUSAIN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:516-755-7555
Mailing Address - Street 1:1299 CORPORATE DR APT 1706
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-6656
Mailing Address - Country:US
Mailing Address - Phone:516-755-7555
Mailing Address - Fax:516-570-3535
Practice Address - Street 1:1999 MARCUS AVE
Practice Address - Street 2:SUITE M14
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-1017
Practice Address - Country:US
Practice Address - Phone:516-755-7555
Practice Address - Fax:516-570-3535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-20
Last Update Date:2010-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY212088207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty