Provider Demographics
NPI:1932760170
Name:HOSSAIN, SAMI AL (RPH)
Entity type:Individual
Prefix:DR
First Name:SAMI
Middle Name:AL
Last Name:HOSSAIN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:916 MERRICK AVE
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-4747
Mailing Address - Country:US
Mailing Address - Phone:516-633-4890
Mailing Address - Fax:
Practice Address - Street 1:7263 KISSENA BLVD STE 4
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-2780
Practice Address - Country:US
Practice Address - Phone:718-793-7658
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-27
Last Update Date:2019-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY065382183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist