Provider Demographics
NPI:1467450759
Name:HASSAN, RANA (MD, PC)
Entity Type:Individual
Prefix:DR
First Name:RANA
Middle Name:
Last Name:HASSAN
Suffix:
Gender:M
Credentials:MD, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 FRANKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN SQUARE
Mailing Address - State:NY
Mailing Address - Zip Code:11010-2523
Mailing Address - Country:US
Mailing Address - Phone:516-216-1690
Mailing Address - Fax:
Practice Address - Street 1:71 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:FRANKLIN SQUARE
Practice Address - State:NY
Practice Address - Zip Code:11010-2523
Practice Address - Country:US
Practice Address - Phone:516-216-1690
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-11
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY225093-1207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY068946OtherMEDICARE
267AL1OtherEMPIRE BCBS
NY02514932Medicaid
NY965181Medicare ID - Type Unspecified
1159772Medicare UPIN