Provider Demographics
NPI:1225310295
Name:HASSAN, AFAAF FAREED (PT)
Entity Type:Individual
Prefix:
First Name:AFAAF
Middle Name:FAREED
Last Name:HASSAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2142 UTOPIA PKWY
Mailing Address - Street 2:COMPLETE BODY PHYSICAL THERAPY PC
Mailing Address - City:WHITESTONE
Mailing Address - State:NY
Mailing Address - Zip Code:11357-4142
Mailing Address - Country:US
Mailing Address - Phone:212-248-3030
Mailing Address - Fax:
Practice Address - Street 1:301 EAST 57 STREET 5TH FLOOR
Practice Address - Street 2:COMPLETE BODY PHYSICAL THERAPY PC
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022
Practice Address - Country:US
Practice Address - Phone:212-248-3030
Practice Address - Fax:212-248-3033
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-15
Last Update Date:2016-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034012-1261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy