Provider Demographics
NPI:1356754071
Name:HASIN, ELANA
Entity type:Individual
Prefix:MS
First Name:ELANA
Middle Name:
Last Name:HASIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11011 QUEENS BLVD
Mailing Address - Street 2:APT 14D
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-7471
Mailing Address - Country:US
Mailing Address - Phone:917-892-4900
Mailing Address - Fax:718-793-1686
Practice Address - Street 1:11011 QUEENS BLVD
Practice Address - Street 2:APT 14D
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-7471
Practice Address - Country:US
Practice Address - Phone:917-892-4900
Practice Address - Fax:718-793-1686
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-10
Last Update Date:2016-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program