Provider Demographics
NPI:1871019091
Name:HOSSAIN, F M AKRAM (PT)
Entity Type:Individual
Prefix:
First Name:F M
Middle Name:AKRAM
Last Name:HOSSAIN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 721346
Mailing Address - Street 2:
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-8946
Mailing Address - Country:US
Mailing Address - Phone:646-575-6579
Mailing Address - Fax:
Practice Address - Street 1:10609 LIVERPOOL ST
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11435-5111
Practice Address - Country:US
Practice Address - Phone:646-575-6579
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-18
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
039396225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY039396OtherLICENSE NUMBER
039396OtherLICENSE NUMBER