Organization
ISLAND NEPHROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHFAQ HUSSAIN MD (SOLE PROPRIETOR)
(631) 456-4447
Entity
Organization
Contact information
Practice address
4 TECHNOLOGY DRIVE, SUITE-130, EAST SETAUKET, NY 11733
(631) 479-3743
(561) 282-3238
Mailing address
18 FIELDHOUSE AVE, EAST SETAUKET, EAST SETAUKET, NY 11733-1038
(631) 456-4447
(561) 282-3238
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
197431
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03250268
—
NY
01
—
7X4431
BCBS
NY
Enumeration date
01/19/2010
Last updated
04/17/2019
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