Provider Demographics
NPI:1558332924
Name:HUSAIN, ABRAR (DO)
Entity Type:Individual
Prefix:
First Name:ABRAR
Middle Name:
Last Name:HUSAIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:891 NORTHERN BLVD STE 203
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-5305
Mailing Address - Country:US
Mailing Address - Phone:516-775-7555
Mailing Address - Fax:516-570-3535
Practice Address - Street 1:1999 MARCUS AVE
Practice Address - Street 2:SUITE M-14
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-1033
Practice Address - Country:US
Practice Address - Phone:516-775-7555
Practice Address - Fax:516-570-3535
Is Sole Proprietor?:No
Enumeration Date:2006-02-01
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
212088246ZN0300X
NY212088207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No246ZN0300XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
59N341Medicare ID - Type Unspecified
G94671Medicare UPIN