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
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
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
12/02/2025
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