Individual
HAMID HUSSAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
620 BELLE TERRE RD, SUITE: 5, PORT JEFFERSON, NY 11777-2500
(631) 476-9736
(631) 476-9738
Mailing address
620 BELLE TERRE RD, SUITE: 5, PORT JEFFERSON, NY 11777-2500
(631) 476-9736
(631) 476-9738
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
209477
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01805283
—
NY
01
—
040426000036
FIDELIS
NY
01
—
1000015694
AFFINITY
NY
01
—
113429351
LOACL 1199
NY
01
—
1194854
FIRST HEALTH
NY
01
—
2038205
AETNA HEALTHCARE
NY
01
—
209477-A10
HEALTH FIRST
NY
01
—
2598986
GHI
NY
01
—
33711P
HIP
NY
01
—
50363
MDNY
NY
01
—
7803105012
CIGNA
NY
01
—
83502
VYTRA
NY
01
—
95G28
EMPIRE - ALL PLANS
NY
Enumeration date
03/20/2006
Last updated
08/02/2013
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