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Individual

SYED HUSSAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
998 CROOKED HILL RD, WEST BRENTWOOD, NY 11717-1043
(631) 761-3500
Mailing address
1500 ROUTE 112, BLDG 4, PORT JEFFERSON STATION, NY 11776-8055

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
244990
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
244990
NY
Enumeration date
08/06/2007
Last updated
09/12/2019
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