Basic Information
| Provider Information | |||||||||
| NPI: | 1932202918 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HOURANI | ||||||||
| FirstName: | HISHAM | ||||||||
| MiddleName: | SPIRIDON | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2649 STRANG BLVD | ||||||||
| Address2: | STE 304 | ||||||||
| City: | YORKTOWN HEIGHTS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105982939 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9147390087 | ||||||||
| FaxNumber: | 9147371714 | ||||||||
| Practice Location | |||||||||
| Address1: | 15 HEALTH LN BLDG 2-D | ||||||||
| Address2: | |||||||||
| City: | WARWICK | ||||||||
| State: | RI | ||||||||
| PostalCode: | 028862710 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4017364646 | ||||||||
| FaxNumber: | 4017364546 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/06/2006 | ||||||||
| LastUpdateDate: | 06/06/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/06/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | MD18404 | RI | Y | Allopathic & Osteopathic Physicians | Surgery |
ID Information
| ID | Type | State | Issuer | Description | 208600000X | 01 | NY | MD | OTHER |