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General NPI Number Information
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NPI Number | 1417448234
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Entity Type | Organization
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Legal Business Name | HOLLIS PRIMARY CARE P.C.
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Dates
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Enumeration Date | 05/29/2018
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 196 22 HILLSIDE AVE
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City | HOLLIS
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State | NY
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Zip | 11423
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Country | US
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Telephone | 347-390-0612
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Fax |
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Provider Business Mailing Address
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Address Line | 14 CAPRI DR
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City | ROSLYN
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State | NY
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Zip | 11576-3205
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Country | US
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Telephone | 917-399-2374
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Fax | 718-480-6652
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Authorized Official
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Title or Position | M.D.
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Name | DR. MOHD HOSSAIN
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Credential |
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Telephone | 917-399-2374
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 257463
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License Number State | NY
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