Healthcare Provider Details

I. General information

NPI: 1083293039
Provider Name (Legal Business Name): ASMA UL HOSNA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2021
Last Update Date: 08/30/2024
Certification Date: 08/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8268 164TH ST BLDG 7TH
JAMAICA NY
11432-1121
US

IV. Provider business mailing address

221 JERICHO TPKE
SYOSSET NY
11791-4515
US

V. Phone/Fax

Practice location:
  • Phone: 718-883-4583
  • Fax: 718-883-6197
Mailing address:
  • Phone: 516-496-6400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number331117
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: