Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 267507-1 | NY |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 267507-1 | NY |
NPI | 1225211469 |
---|---|
Provider Name | Dr. Qusai Hammouri |
First Address | Staten Island, NY 10305-3408 |
Second Address | Staten Island, NY 10305-3408 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2007 |
Last Update Date | 01/02/2016 |