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General NPI Number Information
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NPI Number | 1467709477
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Entity Type | Organization
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Legal Business Name | AFZAL HOSSAIN PHYSICIAN PC
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Dates
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Enumeration Date | 08/08/2012
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 16915 88TH AVE
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City | JAMAICA
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State | NY
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Zip | 11432-4432
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Country | US
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Telephone | 718-297-4300
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Fax | 718-297-4302
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Provider Business Mailing Address
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Address Line | 75 WILLOW ST
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City | GARDEN CITY
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State | NY
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Zip | 11530
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Country | US
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Telephone | 516-248-1867
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Fax | 516-248-1867
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Authorized Official
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Title or Position | OWNER
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Name | AFZAL HOSSAIN
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Credential |
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Telephone | 718-297-4300
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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 | 234083
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License Number State | NY
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