Provider Demographics
NPI:1780694927
Name:HOSSAIN, ZAKIA
Entity type:Individual
Prefix:
First Name:ZAKIA
Middle Name:
Last Name:HOSSAIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ZAKIA
Other - Middle Name:
Other - Last Name:HOSSAIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:7655 264TH ST
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11004-1144
Mailing Address - Country:US
Mailing Address - Phone:718-915-1585
Mailing Address - Fax:718-298-5683
Practice Address - Street 1:6417 BROADWAY
Practice Address - Street 2:
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-2336
Practice Address - Country:US
Practice Address - Phone:718-424-0309
Practice Address - Fax:718-424-0263
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY246532207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine