Provider Demographics
NPI:1679519656
Name:YASMEEN, KAUSER (MD)
Entity type:Individual
Prefix:DR
First Name:KAUSER
Middle Name:
Last Name:YASMEEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 NEWBRIDGE RD
Mailing Address - Street 2:SUITES 1 AND 2
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-3963
Mailing Address - Country:US
Mailing Address - Phone:516-942-5800
Mailing Address - Fax:516-942-0745
Practice Address - Street 1:100 NEWBRIDGE RD
Practice Address - Street 2:SUITES 1 AND 2
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-3963
Practice Address - Country:US
Practice Address - Phone:516-942-5800
Practice Address - Fax:516-942-0745
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-20
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY221051207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02471850Medicaid
NY41C581Medicare PIN
NY02471850Medicaid