Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | 230283 | NY |
NPI | 1275626699 |
---|---|
Provider Name | Muhammad A Hasan |
First Address | Ozone Park, NY 11416-2128 |
Second Address | Ozone Park, NY 11416-2128 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2006 |
Last Update Date | 21/03/2014 |