| Hossien Dahdouli, APN | |
|
3550 Lexington Ave, Mohegan Lake, NY 10547-1273 | |
| (914) 528-2000 | |
| Not Available |
| Full Name | Hossien Dahdouli |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 3550 Lexington Ave, Mohegan Lake, New York |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821719410 | NPI | - | NPPES |
| 07973086 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 310921 (New York) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 26NJ01361600 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Allied Medical Of Ny Pc | 9335590751 | 11 |
| National Health Rehabilitation Llc | 4284952615 | 152 |
| Physiatry Practice Of New York, Pc | 6709230576 | 4 |
| Entity Name | Omar Osman Md Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508564220 PECOS PAC ID: 1355716812 Enrollment ID: O20230414000624 |
| Entity Name | Physiatry Practice Of New York, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245923317 PECOS PAC ID: 6709230576 Enrollment ID: O20230927002627 |
| Entity Name | Allied Medical Of Ny Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730961061 PECOS PAC ID: 9335590751 Enrollment ID: O20240110003362 |
| Mailing Address | Practice Location Address |
|---|---|
| Hossien Dahdouli, APN 1776 Woodstead Ct Ste 208, The Woodlands, TX 77380-1480 Ph: (877) 749-7428 | Hossien Dahdouli, APN 3550 Lexington Ave, Mohegan Lake, NY 10547-1273 Ph: (914) 528-2000 |
Rachel Anne Moody, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3151 Stoney St, Mohegan Lake, NY 10547 Phone: 914-885-1995 | |
Mrs. Karina Barreda, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3244 E Main St, Mohegan Lake, NY 10547 Phone: 845-772-7344 | |
Mrs. Suan J Valenzuela, AGNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3550 Lexington Ave, Mohegan Lake, NY 10547 Phone: 914-528-2000 | |
Karina G Santibanez, NPP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3151 Stony St, Mohegan Lake, NY 10547 Phone: 914-885-1995 Fax: 718-583-6358 | |
Kshama Baraichi, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3550 Lexington Ave, Mohegan Lake, NY 10547 Phone: 914-528-2000 |