National Provider Identifier

Jamal Tariq Hussain, DPT

Jamal Tariq Hussain, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Middleport, NY and a listed phone number of (716) 465-5106.

NPI 1366594806Middleport, NYPhysical Therapist

Profile Overview

NPI
1366594806
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
January 17, 2007
Last Updated
July 08, 2007

Practice Location

  • 149 Telegraph RD
  • Suite 100
  • Middleport, NY 14105-1352

Phone: (716) 465-5106

Mailing Address

  • 6880 Townline RD
  • North Tonawanda, NY 14120-9571

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1366594806
Entity Type
Individual
Last Name
Hussain
First Name
Jamal
Middle Name
Tariq
Credential
DPT
Mailing Street Address
6880 Townline RD
Mailing City
North Tonawanda
Mailing State
NY
Mailing ZIP Code
14120-9571
Mailing Country
US
Mailing Phone
(716) 695-5393
Practice Street Address
149 Telegraph RD
Practice Address Line 2
Suite 100
Practice City
Middleport
Practice State
NY
Practice ZIP Code
14105-1352
Practice Country
US
Practice Phone
(716) 465-5106
Enumeration Date
January 17, 2007
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)