Provider Demographics
NPI:1104003037
Name:MURAD, HASAN
Entity Type:Individual
Prefix:MR
First Name:HASAN
Middle Name:
Last Name:MURAD
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:HASAN
Other - Middle Name:
Other - Last Name:MURAD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:585 YONKERS AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-2628
Mailing Address - Country:US
Mailing Address - Phone:914-423-5964
Mailing Address - Fax:
Practice Address - Street 1:585 YONKERS AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-2628
Practice Address - Country:US
Practice Address - Phone:914-423-5964
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-22
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042365183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist