Provider Demographics
NPI:1598132227
Name:HASSAN, HAMAAD (MSPA-C)
Entity Type:Individual
Prefix:
First Name:HAMAAD
Middle Name:
Last Name:HASSAN
Suffix:
Gender:M
Credentials:MSPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1056 E 12TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-4138
Mailing Address - Country:US
Mailing Address - Phone:718-769-0506
Mailing Address - Fax:718-975-2179
Practice Address - Street 1:795 CONEY ISLAND AVE
Practice Address - Street 2:AND 3064 CONEY ISLAND AVE (WITH ZIP CODE 11235)
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-5309
Practice Address - Country:US
Practice Address - Phone:718-287-1811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-28
Last Update Date:2016-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical