1073560835 NPI number — DR. IFFATH ABBASI HOSKINS M.D.

Table of content: DR. IFFATH ABBASI HOSKINS M.D. (NPI 1073560835)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073560835 NPI number — DR. IFFATH ABBASI HOSKINS M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOSKINS
Provider First Name:
IFFATH
Provider Middle Name:
ABBASI
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HOSKINS
Provider Other First Name:
IFFATH
Provider Other Middle Name:
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D.
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1073560835
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/14/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
550 1ST AVE
Provider Second Line Business Mailing Address:
550 FIRST AVE, ROOM 9E2, NBV
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10016-6402
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-263-6594
Provider Business Mailing Address Fax Number:
212-263-8251

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
550 1ST AVE
Provider Second Line Business Practice Location Address:
NYU SCHOOL OF MEDICINE, ROOM 9E2, NBV
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10016-6402
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-263-6594
Provider Business Practice Location Address Fax Number:
212-263-6594
Provider Enumeration Date:
05/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207VM0101X , with the licence number:  170353 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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