Provider Demographics
NPI:1194176990
Name:ELSAYYAD, HOSAM NAGI (PHARMD)
Entity type:Individual
Prefix:
First Name:HOSAM
Middle Name:NAGI
Last Name:ELSAYYAD
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:273 94TH ST FL 2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-6807
Mailing Address - Country:US
Mailing Address - Phone:646-620-6003
Mailing Address - Fax:
Practice Address - Street 1:273 94TH ST FL 2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-6807
Practice Address - Country:US
Practice Address - Phone:646-620-6003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-23
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY061672183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist