Provider Demographics
NPI:1770519738
Name:HUSSAINI, SYED ZABHEEHULLAH (MD)
Entity type:Individual
Prefix:DR
First Name:SYED
Middle Name:ZABHEEHULLAH
Last Name:HUSSAINI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:706 BANNER AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-6957
Mailing Address - Country:US
Mailing Address - Phone:718-368-3092
Mailing Address - Fax:718-368-2051
Practice Address - Street 1:706 BANNER AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-6957
Practice Address - Country:US
Practice Address - Phone:718-368-3092
Practice Address - Fax:718-368-5021
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-23
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY239427207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02743364Medicaid
NY171838Medicare UPIN
NY5153PGW791Medicare Oscar/Certification
NY02743364Medicaid