Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 255539 | NY |
Y | 2081P2900X | Pain Medicine | 255539 | NY |
NPI | 1083819411 |
---|---|
Provider Name | Dr. Syed Asim Husain |
First Address | Staten Island, NY 10314-7210 |
Second Address | Staten Island, NY 10314 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2007 |
Last Update Date | 18/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03343419 | (05) | NY |