Provider Demographics
NPI:1659045094
Name:HOSSEN, AJMAEEN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:AJMAEEN
Middle Name:
Last Name:HOSSEN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8119 41ST AVE
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-1394
Mailing Address - Country:US
Mailing Address - Phone:718-397-0776
Mailing Address - Fax:
Practice Address - Street 1:8119 41ST AVE
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-1394
Practice Address - Country:US
Practice Address - Phone:718-397-0776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-08
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY067949183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist