Provider Demographics
NPI:1720220544
Name:HASSAN, AMBER SAEED (DO)
Entity Type:Individual
Prefix:DR
First Name:AMBER
Middle Name:SAEED
Last Name:HASSAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:AMBER
Other - Middle Name:SAEED
Other - Last Name:HASSAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:602 MORRIS AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10451-4702
Mailing Address - Country:US
Mailing Address - Phone:718-993-4348
Mailing Address - Fax:718-993-4348
Practice Address - Street 1:602 MORRIS AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-4702
Practice Address - Country:US
Practice Address - Phone:718-993-4348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-25
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251820208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice