Provider Demographics
NPI:1417142878
Name:HUSSEIN, EULA ELIZABETH
Entity Type:Individual
Prefix:MS
First Name:EULA
Middle Name:ELIZABETH
Last Name:HUSSEIN
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:EULA
Other - Middle Name:ELIZABETH
Other - Last Name:HUSSEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:597 FLANDERS DR
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11581-3012
Mailing Address - Country:US
Mailing Address - Phone:516-569-7993
Mailing Address - Fax:
Practice Address - Street 1:597 FLANDERS DR
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11581-3012
Practice Address - Country:US
Practice Address - Phone:516-569-7993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-10
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251249163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse