Provider Demographics
NPI:1710034160
Name:ASIF, HASAN (MD)
Entity Type:Individual
Prefix:DR
First Name:HASAN
Middle Name:
Last Name:ASIF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4 BURCH RD
Mailing Address - Street 2:
Mailing Address - City:LARCHMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10538-1527
Mailing Address - Country:US
Mailing Address - Phone:914-793-0900
Mailing Address - Fax:914-793-1314
Practice Address - Street 1:1 STONE PL
Practice Address - Street 2:204
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-3426
Practice Address - Country:US
Practice Address - Phone:914-793-0900
Practice Address - Fax:914-793-1314
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2014-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2146682084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY252199OtherHEALTHNET
NY76M561Medicare PIN