Provider Demographics
NPI:1326270026
Name:HASSON, BARRY V (OTR/L)
Entity Type:Individual
Prefix:MR
First Name:BARRY
Middle Name:V
Last Name:HASSON
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 MAPLEGROVE DR
Mailing Address - Street 2:
Mailing Address - City:CHURCHVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14428-9359
Mailing Address - Country:US
Mailing Address - Phone:585-293-1866
Mailing Address - Fax:
Practice Address - Street 1:3 MAPLEGROVE DR
Practice Address - Street 2:
Practice Address - City:CHURCHVILLE
Practice Address - State:NY
Practice Address - Zip Code:14428-9359
Practice Address - Country:US
Practice Address - Phone:585-293-1866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-13
Last Update Date:2009-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005126-01225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist