Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 25MA05994700 | NJ |
N | 2084N0600X | Clinical Neurophysiologist | 25MA05994700 | NJ |
NPI | 1215962055 |
---|---|
Provider Name | Syed Hosain |
First Address | New York, NY 10031-1716 |
Second Address | New York, NY 10031-1716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 01/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7261608 | (05) | NJ |
G46396 | (02) |