Healthcare Provider Details

I. General information

NPI: 1750210878
Provider Name (Legal Business Name): HANAA HUSSEIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 WOODLAND ST
HARTFORD CT
06105-1208
US

IV. Provider business mailing address

900 MIDDLETOWN AVE
NORTH HAVEN CT
06473-3518
US

V. Phone/Fax

Practice location:
  • Phone: 929-374-8531
  • Fax:
Mailing address:
  • Phone: 929-374-8531
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPCI0010090
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: