Provider Demographics
NPI:1619014107
Name:AL-HUSAYNI, HUSAYN JAWAD (MD)
Entity Type:Individual
Prefix:DR
First Name:HUSAYN
Middle Name:JAWAD
Last Name:AL-HUSAYNI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2556 82ND ST
Mailing Address - Street 2:
Mailing Address - City:EAST ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11370-1629
Mailing Address - Country:US
Mailing Address - Phone:717-565-5285
Mailing Address - Fax:718-518-5224
Practice Address - Street 1:1650 GRAND CONCOURSE
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-7606
Practice Address - Country:US
Practice Address - Phone:718-518-5031
Practice Address - Fax:718-518-5224
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2007-09-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2082692085B0100X, 2085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology