Healthcare Provider Details

I. General information

NPI: 1649288234
Provider Name (Legal Business Name): ROMANA IQBAL HOSAIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

266 NORTH STREET SUITE A
NEWBURGH NY
12550
US

IV. Provider business mailing address

266 NORTH STREET SUITE A
NEWBURGH NY
12550
US

V. Phone/Fax

Practice location:
  • Phone: 845-565-5437
  • Fax: 845-565-7021
Mailing address:
  • Phone: 845-565-5437
  • Fax: 845-565-7021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2232451
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: