Individual
MARYAM QAYUMI-HUSSAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
5036 JERICHO TPKE STE 307, COMMACK, NY 11725-2812
(631) 486-6220
Mailing address
22920 HILLSIDE AVE FL 2, QUEENS VILLAGE, NY 11427-2627
(443) 538-1658
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
060713
NY
Other
Enumeration date
03/08/2017
Last updated
01/17/2020
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