Provider Demographics
NPI:1518177906
Name:HASON, GERI W (RPA-C)
Entity Type:Individual
Prefix:MS
First Name:GERI
Middle Name:W
Last Name:HASON
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 4TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-3007
Mailing Address - Country:US
Mailing Address - Phone:212-263-9700
Mailing Address - Fax:
Practice Address - Street 1:111 BROADWAY 2ND FL
Practice Address - Street 2:NYU LANGONE TRINITY CTR
Practice Address - City:NY
Practice Address - State:NY
Practice Address - Zip Code:10006-3007
Practice Address - Country:US
Practice Address - Phone:212-263-9700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004928363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant