MEDICARE: DR. NAFIZ HOSSAIN PHARM D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	057187-1	NY

General Provider Information

NPI Number	:	1043560568
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NAFIZ HOSSAIN PHARM D.

Provider Business Mailing Address
First Line	:	35 MINUTEMAN CIR
Second Line	:
City	:	ORANGEBURG
State	:	NY
Zip	:	10962-2709
Country	:	US
Telephone Number	:	845-365-1775
Fax Number	:

Provider Business Practice Location Address
First Line	:	61 E MOUNT EDEN AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10452-5806
Country	:	US
Telephone Number	:	718-583-3575
Fax Number	:	718-583-0976

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2012
Last Update Date	:	09/12/2012

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