Provider Demographics
NPI:1316170244
Name:HUSSAINI, JOWAIRIA SYEDA (RPH, PHARMD)
Entity type:Individual
Prefix:DR
First Name:JOWAIRIA
Middle Name:SYEDA
Last Name:HUSSAINI
Suffix:
Gender:F
Credentials:RPH, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8470 129TH ST
Mailing Address - Street 2:
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415-2810
Mailing Address - Country:US
Mailing Address - Phone:646-824-3475
Mailing Address - Fax:
Practice Address - Street 1:8470 129TH ST
Practice Address - Street 2:
Practice Address - City:KEW GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11415-2810
Practice Address - Country:US
Practice Address - Phone:646-824-3475
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-26
Last Update Date:2009-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050226183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY050226OtherTHE UNIVERSITY OF THE STATE OF NEW YORK EDUCATION DEPARTMENT