Individual
FAZIA ALLIHUSSAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
100 PORT WASHINGTON BLVD, ROSLYN, NY 11576-1347
(516) 562-6000
Mailing address
9154 113TH ST, RICHMOND HILL, NY 11418-3026
(347) 593-1794
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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