Individual
AYESHA HUSSAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
8742 169TH ST, JAMAICA, NY 11432-3632
(347) 829-9625
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(347) 829-9625
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
285688
NY
207VM0101X
Maternal & Fetal Medicine Physician
285688
NY
Other
Enumeration date
06/20/2011
Last updated
07/30/2020
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