Individual
SAMANTHA HUSSAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4012 80TH ST, ELMHURST, NY 11373-1234
(718) 886-9000
(718) 961-0666
Mailing address
4012 80TH ST, ELMHURST, NY 11373-1234
(718) 886-9000
(718) 961-0666
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
024342
NY
Other
Enumeration date
11/07/2019
Last updated
11/07/2019
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