Healthcare Provider Details

I. General information

NPI: 1346179116
Provider Name (Legal Business Name): HUSSEIN TEHFE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

662 MORRIS PARK AVE
BRONX NY
10462-3503
US

IV. Provider business mailing address

1326 BAY RIDGE PKWY
BROOKLYN NY
11228-2211
US

V. Phone/Fax

Practice location:
  • Phone: 718-597-3380
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number073938
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: