| Mohammad S Hussain Md Pc | |
|
221 Broadway Suite 204 Amityville NY 11701-2780 | |
| (631) 598-4897 | |
| (631) 598-5866 |
| Full Name | Mohammad S Hussain Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 221 Broadway, Amityville, New York |
| Authorized Official Name and Position | Mohammad S Hussain (PRESIDENT) |
| Authorized Official Contact | 7183470494 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mohammad S Hussain Md Pc 221 Broadway Suite 204 Amityville NY 11701-2780 Ph: (631) 598-4897 | Mohammad S Hussain Md Pc 221 Broadway Suite 204 Amityville NY 11701-2780 Ph: (631) 598-4897 |
| NPI Number | 1548591167 |
|---|---|
| Provider Enumeration Date | 01/21/2010 |
| Last Update Date | 01/21/2010 |
| Medicare PECOS PAC ID | 8123211158 |
|---|---|
| Medicare Enrollment ID | O20101021001187 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548591167 | NPI | - | NPPES |
| 02596270 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 230250 (New York) | Primary |
| Provider Name | Mohammad S Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710051537 PECOS PAC ID: 2769471986 Enrollment ID: I20040511001344 |
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