Provider Demographics
NPI:1679026728
Name:ALHASSANY, HASHIM
Entity Type:Individual
Prefix:
First Name:HASHIM
Middle Name:
Last Name:ALHASSANY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 W 170TH ST APT 37
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3329
Mailing Address - Country:US
Mailing Address - Phone:571-296-6462
Mailing Address - Fax:
Practice Address - Street 1:11710 PLAZA AMERICA DR STE 150
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20190-4756
Practice Address - Country:US
Practice Address - Phone:703-481-2096
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-25
Last Update Date:2016-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014153271223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics