Provider Demographics
NPI:1467628438
Name:HUSAIN NEUROLOGY ASSOCIATES P.C
Entity Type:Organization
Organization Name:HUSAIN NEUROLOGY ASSOCIATES P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:S
Authorized Official - Last Name:HUSAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-823-0316
Mailing Address - Street 1:1129 LINDEN ST
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-2135
Mailing Address - Country:US
Mailing Address - Phone:516-823-0316
Mailing Address - Fax:516-823-3021
Practice Address - Street 1:1129 LINDEN ST
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-2135
Practice Address - Country:US
Practice Address - Phone:516-823-0316
Practice Address - Fax:516-823-3021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-30
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY184410174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01429372Medicaid
NY01429372Medicaid