Provider Demographics
NPI:1275360554
Name:HAMZA, YOUSUF
Entity type:Individual
Prefix:
First Name:YOUSUF
Middle Name:
Last Name:HAMZA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:244 DAHILL RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-3802
Mailing Address - Country:US
Mailing Address - Phone:646-591-3323
Mailing Address - Fax:
Practice Address - Street 1:5100 KINGS PLZ SPC 2201
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-7217
Practice Address - Country:US
Practice Address - Phone:718-306-1842
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-19
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY071955183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist