Basic Information
| Provider Information | |||||||||
| NPI: | 1992292155 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HUSSAINI | ||||||||
| FirstName: | SYED | ||||||||
| MiddleName: | MUDASSIR | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 725 AMERICAN AVE | ||||||||
| Address2: | |||||||||
| City: | WAUKESHA | ||||||||
| State: | WI | ||||||||
| PostalCode: | 531885031 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6309748106 | ||||||||
| FaxNumber: | 5165725609 | ||||||||
| Practice Location | |||||||||
| Address1: | NASSAU UNIVERSITY MEDICAL CENTER DEPARETMENT OF MEDICIN | ||||||||
| Address2: | 2201 HEMPSTEAD TURNPIKE | ||||||||
| City: | EAST MEADOW | ||||||||
| State: | NY | ||||||||
| PostalCode: | 11554 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5165726501 | ||||||||
| FaxNumber: | 5165725609 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/13/2018 | ||||||||
| LastUpdateDate: | 06/03/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/03/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 75872-20 | WI | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.