MEDICARE: SEYED ALI KHALESSI HOSSEINI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	309659	NY

General Provider Information

NPI Number	:	1093204307
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEYED ALI KHALESSI HOSSEINI MD

Provider Business Mailing Address
First Line	:	10919 72ND RD
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-7826
Country	:	US
Telephone Number	:	718-459-8460
Fax Number	:	718-268-2311

Provider Business Practice Location Address
First Line	:	10919 72ND RD
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-7826
Country	:	US
Telephone Number	:	718-268-0418
Fax Number	:	718-268-2311

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2018
Last Update Date	:	03/26/2025

Similar Medicare Providers

1154825362 — DAYNA LAKSHESH PANCHAL D.O.
Practice Location Address:

10919 72ND RD
FOREST HILLS, NY
11375-7826

Practice Phone: 973-972-6056
Practice Fax:

1194359257 — BRANDON J REGO
Practice Location Address:

10919 72ND RD
FOREST HILLS, NY
11375-7826

Practice Phone: 718-268-0418
Practice Fax:

1265024525 — MR. BENJAMIN M ARONBAYEV PA
Practice Location Address:

10919 72ND RD
FOREST HILLS, NY
11375-7826

Practice Phone: 718-459-8460
Practice Fax:

1376216879 — CAPITAL DRUGS LLC
Practice Location Address:

10919 72ND RD # COM2
FOREST HILLS, NY
11375-7826

Practice Phone: 718-575-3500
Practice Fax: 718-575-3501

1336303320 — LINDA A WILK LCSW
Practice Location Address:

9 WILLARD WAY
DIX HILLS, NY
11746-7826

Practice Phone: 631-252-3588
Practice Fax:

1134007545 — CHRISTINA VASQUEZ DICKERSON
Practice Location Address:

6500 BOULDER CT
NORTH RICHLAND HILLS, TX
76180-7826

Practice Phone: 214-718-0751
Practice Fax:

Directions to “ SEYED ALI KHALESSI HOSSEINI MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.