Provider Demographics
NPI:1013578210
Name:MONCION, HASSEL
Entity Type:Individual
Prefix:
First Name:HASSEL
Middle Name:
Last Name:MONCION
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 E 149TH ST APT 6A
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10451-5526
Mailing Address - Country:US
Mailing Address - Phone:212-321-0302
Mailing Address - Fax:
Practice Address - Street 1:225 E 149TH ST APT 6A
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-5526
Practice Address - Country:US
Practice Address - Phone:212-321-0302
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-27
Last Update Date:2019-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYNA25675KMedicaid