Provider Demographics
NPI:1225261837
Name:HASSAN, FATEN ZAKY (BACHELOR DEGREE)
Entity Type:Individual
Prefix:MRS
First Name:FATEN
Middle Name:ZAKY
Last Name:HASSAN
Suffix:
Gender:F
Credentials:BACHELOR DEGREE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
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Mailing Address - Street 1:49 WOODCREST RD
Mailing Address - Street 2:#1
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10303-1730
Mailing Address - Country:US
Mailing Address - Phone:718-698-8487
Mailing Address - Fax:718-698-8487
Practice Address - Street 1:49 WOODCREST RD
Practice Address - Street 2:#1
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10303-1730
Practice Address - Country:US
Practice Address - Phone:718-698-8487
Practice Address - Fax:718-698-8487
Is Sole Proprietor?:No
Enumeration Date:2009-08-29
Last Update Date:2009-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031825225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist