Provider Demographics
NPI:1386794899
Name:HUSSAINI, RAZI (MD)
Entity type:Individual
Prefix:DR
First Name:RAZI
Middle Name:
Last Name:HUSSAINI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 CLIFTON ST
Mailing Address - Street 2:
Mailing Address - City:FARMINGDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11735-5500
Mailing Address - Country:US
Mailing Address - Phone:917-969-2881
Mailing Address - Fax:631-777-3154
Practice Address - Street 1:7 NEWBRIDGE RD
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-2853
Practice Address - Country:US
Practice Address - Phone:516-605-1136
Practice Address - Fax:516-605-1139
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2015-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY60242650207R00000X
NY242650207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine