Healthcare Provider Details

I. General information

NPI: 1598184756
Provider Name (Legal Business Name): MUNIF HUSSAIN D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/15/2014
Last Update Date: 04/25/2025
Certification Date: 04/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

657 CENTRAL AVE
CEDARHURST NY
11516-2320
US

IV. Provider business mailing address

230 NEW HYDE PARK RD
GARDEN CITY NY
11530-2324
US

V. Phone/Fax

Practice location:
  • Phone: 516-295-0111
  • Fax: 516-295-9438
Mailing address:
  • Phone: 347-512-6232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207PS0010X
TaxonomySports Medicine (Emergency Medicine) Physician
License Number286419
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number286419
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number286419
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: