Provider Demographics
NPI:1699007229
Name:HASSAN, ADEL LABEB (BS)
Entity Type:Individual
Prefix:MR
First Name:ADEL
Middle Name:LABEB
Last Name:HASSAN
Suffix:
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8837 247TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLEROSE
Mailing Address - State:NY
Mailing Address - Zip Code:11426-1640
Mailing Address - Country:US
Mailing Address - Phone:718-347-3465
Mailing Address - Fax:718-347-3465
Practice Address - Street 1:8837 247TH ST
Practice Address - Street 2:
Practice Address - City:BELLEROSE
Practice Address - State:NY
Practice Address - Zip Code:11426-1640
Practice Address - Country:US
Practice Address - Phone:718-347-3465
Practice Address - Fax:718-347-3465
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-07
Last Update Date:2010-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010365225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist