Provider Demographics
NPI:1285027730
Name:HASAN, ABIGAIL (FNP)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:HASAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:CASTRO
Other - Last Name:HASAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:8306 VIETOR AVE
Mailing Address - Street 2:APT. 2P
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-3251
Mailing Address - Country:US
Mailing Address - Phone:718-206-6000
Mailing Address - Fax:718-206-8841
Practice Address - Street 1:8306 VIETOR AVE
Practice Address - Street 2:APT. 2P
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-3251
Practice Address - Country:US
Practice Address - Phone:718-206-6000
Practice Address - Fax:718-206-8841
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-09
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY339248363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily