Individual
KAZI HOSSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1300 ROANOKE AVE, RIVERHEAD, NY 11901-2031
(631) 548-6000
Mailing address
16 18TH ST, EAST SETAUKET, NY 11733-1094
(917) 858-8335
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
299329
NY
Other
Enumeration date
05/03/2016
Last updated
03/02/2022
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