Provider Demographics
NPI:1932481264
Name:HUSSNY FAMILY PRACTICE
Entity Type:Organization
Organization Name:HUSSNY FAMILY PRACTICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EMMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUSSNY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:571-248-2985
Mailing Address - Street 1:7120 HERITAGE VILLAGE PLAZA
Mailing Address - Street 2:SUITE 102
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20155
Mailing Address - Country:US
Mailing Address - Phone:571-248-2985
Mailing Address - Fax:571-248-2985
Practice Address - Street 1:7120 HERITAGE VILLAGE PLAZA
Practice Address - Street 2:SUITE 102
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155
Practice Address - Country:US
Practice Address - Phone:571-248-2985
Practice Address - Fax:571-248-2976
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HUSSNY FAMILY PRACTICE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-09-13
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101231752207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty