Individual
MD SHAHADAT HOSSAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
531 TARGEE ST, STATEN ISLAND, NY 10304-3501
(646) 837-5448
Mailing address
927 QUINCY AVE FL 2, BRONX, NY 10465-1912
(718) 206-6712
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N007224-01
NY
Other
Enumeration date
03/29/2019
Last updated
07/01/2022
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