| Provider / Organization | NPI | Date Certified |
|---|---|---|
| HAZERA HUSSAIN | 1316553803 | 2022-07-27 |
Hazera Hussain is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1316553803. Registration indicates Hazera Hussain is a provider of services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant (Physician Assistant: Surgical, ) (All Other Specialties & Provider Types, ) (Physician Assistant Surgical Technologist, Physician Assistants & Advanced Practice Nursing Providers) (Physician Assistant, )
| Entity Type | Individual |
| Provider Name | Hazera Hussain PA-C |
| Practice Office Address | 7901 BROADWAY # D6-10 ELMHURST, NY US |
| Practice Office Telephone | 7183342611 |
| Practice Office Fax | 7183341199 |
| Mailing Address | 7901 BROADWAY # D6-10 ELMHURST, NY 113731329 US |
| Business Telephone | 7183342611 |
| Business Fax | 7183341199 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 111 E 210th St | Bronx, NY 104672401 | 6466989444 |
| 3190 Hull Ave Apt 41 | Bronx, NY 104674335 | 6466989444 |
| Direct Messaging Address [] | [email protected] |
| Code | Practice | License No State |
|---|---|---|
| 363AS0400X PRIMARY | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant: Surgical All Other Specialties & Provider Types Physician Assistant Surgical Technologist Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | 025775
NY |