Provider Demographics
NPI:1265723548
Name:HOPE MEDICAL SERVICES PC
Entity type:Organization
Organization Name:HOPE MEDICAL SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SYED
Authorized Official - Middle Name:AJMAL
Authorized Official - Last Name:HUSAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-326-2522
Mailing Address - Street 1:7812 METROPOLITAN AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLE VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11379-2900
Mailing Address - Country:US
Mailing Address - Phone:718-326-2522
Mailing Address - Fax:718-894-8274
Practice Address - Street 1:7812 METROPOLITAN AVE
Practice Address - Street 2:
Practice Address - City:MIDDLE VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11379-2900
Practice Address - Country:US
Practice Address - Phone:718-326-2522
Practice Address - Fax:718-894-8274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-21
Last Update Date:2011-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY207808207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG100045751OtherMEDICARE GHI PIN
NYA100048209OtherMEDICARE BCBS PIN
NY01686084Medicaid
NY16N971Medicare PIN
NYG41056Medicare UPIN
NY02390AMedicare PIN