Individual
TARIQ HUSSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
179 N BROAD ST, NORWICH, NY 13815-1019
(607) 337-4950
(607) 337-4915
Mailing address
179 N BROAD ST, NORWICH, NY 13815-1019
(607) 337-4271
(607) 337-4049
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
002246
NY
207X00000X
Orthopaedic Surgery Physician
Primary
241608
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000162322
EXCELLUS BCBS
—
01
—
000925936001
HEALTH NOW
—
05
—
02600975
—
NY
01
—
0598722
GHI
—
Enumeration date
08/08/2006
Last updated
08/22/2014
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