Healthcare Provider Details

I. General information

NPI: 1992156368
Provider Name (Legal Business Name): SHARMEEN FATIMA HUSSAINI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/28/2016
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2180 S CLINTON AVE
ROCHESTER NY
14618-2665
US

IV. Provider business mailing address

601 ELMWOOD AVE BOX 670
ROCHESTER NY
14642-0001
US

V. Phone/Fax

Practice location:
  • Phone: 585-276-3616
  • Fax: 585-473-1691
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number38074
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number311529-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: