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Individual

HOSSIEN DAHDOULI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APN

Contact information

Practice address
3550 LEXINGTON AVE, MOHEGAN LAKE, NY 10547-1273
(914) 528-2000
Mailing address
1776 WOODSTEAD CT STE 208, THE WOODLANDS, TX 77380-1480
(877) 749-7428
(281) 724-3100

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
310921
NY
363LA2200X
Adult Health Nurse Practitioner
26NJ01361600
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
310921
NY
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ01361600
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07973086
NY
Enumeration date
09/12/2022
Last updated
07/23/2026
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