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Individual

DR. ASHFAQ SWAPAN HUSSAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4 TECHNOLOGY DRIVE, SUITE-130, EAST SETAUKET, NY 11733
(631) 675-2555
(631) 331-1932
Mailing address
18 FIELDHOUSE AVE, EAST SETAUKET, NY 11733-1038
(631) 456-4447
(561) 282-3233

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
197431
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01548172
NY
01
1091809
UNITED HEALTHCARE
NY
01
390005378
RAILROAD MEDICARE
NY
01
4752605008
CIGNA
NY
01
5497732
AETNA
NY
01
7X4431
EMPIRE BCBS
NY
01
82142
VYTRA
NY
01
P4115302
OXFORD
NY
01
PRV0004590
MONTEFIORE
NY
Enumeration date
08/12/2006
Last updated
04/17/2019
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