Cmm Hasan, Physician

NPI 1083800528 - Internal Medicine - 207RC0000X

NPI Details
NPI 1083800528
Enumeration Date 09/19/2007
Last Updated 09/19/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name PEGGY L PEGGY
Position CREDENTIALING
Phone (718) 657-8001
Fax (718) 732-0783
Practice Location
8405 169TH ST
JAMAICA NY, 11432-2033, US
Phone (718) 657-8001
Fax (718) 732-0783
Business Location
8405 169TH ST
JAMAICA NY, 11432-2033, US
Phone (718) 657-8001
Fax (718) 732-0783
Toxanomy
Taxonomy Code 207RC0000X
License State New York
License Number 193570
Remove 1083800528 NPI Number
 

According to our database, Cmm Hasan, Physician NPI is 1083800528, taxonomy code is 207RC0000X and license number is 193570, license state is located at New York. Cmm Hasan, Physician physically located at 8405 169th St, Jamaica NY, 11432-2033. NPI Number 1033115704 has the healthcare provider type.

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1083800528 NPI number is provided on an as is basis without warranty of any kind. 1083800528 is maintained by the National Plan & Provider Enumeration System. The contents of Cmm Hasan, Physician are for informational purposes only.