Basic Information
Provider Information
NPI: 1285072769
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HUSSNAIN
FirstName: SYED
MiddleName: AMAL
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
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Mailing Information
Address1: 635 W 165TH ST
Address2: HARKNESS EYE INSTITUTE
City: NEW YORK
State: NY
PostalCode: 100323724
CountryCode: US
TelephoneNumber: 2123056709
FaxNumber: 2123055523
Practice Location
Address1: 635 W 165TH ST
Address2: SUITE 1B
City: NEW YORK
State: NY
PostalCode: 100323724
CountryCode: US
TelephoneNumber: 2123053015
FaxNumber: 2123425450
Other Information
ProviderEnumerationDate: 06/06/2013
LastUpdateDate: 02/16/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207WX0107X287813NYN    
207W00000X287813NYY Allopathic & Osteopathic PhysiciansOphthalmology 

No ID Information.


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