MEDICARE: SALMA RANI HUSSAIN CID

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	103K00000X	Behavior Analyst		NY

General Provider Information

NPI Number	:	1578492872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SALMA RANI HUSSAIN CID

Provider Business Mailing Address
First Line	:	384 WELLWOOD DR
Second Line	:
City	:	SHIRLEY
State	:	NY
Zip	:	11967-1328
Country	:	US
Telephone Number	:	929-575-0538
Fax Number	:

Provider Business Practice Location Address
First Line	:	384 WELLWOOD DR
Second Line	:
City	:	SHIRLEY
State	:	NY
Zip	:	11967-1328
Country	:	US
Telephone Number	:	929-575-0538
Fax Number	:

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

Provider Enumeration Date	:	05/14/2026
Last Update Date	:	05/14/2026

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Directions to “ SALMA RANI HUSSAIN CID ” Practice Location

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