Healthcare Provider Details

I. General information

NPI: 1619238011
Provider Name (Legal Business Name): HUSSAM ALHARASH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2012
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

451 CLARKSON AVE
BROOKLYN NY
11203-2097
US

IV. Provider business mailing address

6749 5TH AVE
BROOKLYN NY
11220-5420
US

V. Phone/Fax

Practice location:
  • Phone: 718-245-3131
  • Fax:
Mailing address:
  • Phone: 347-247-3412
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number281082
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License Number281082
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: