Provider Demographics
NPI:1700108875
Name:HASSAN, RUBINA ZAMIR (RPH)
Entity Type:Individual
Prefix:MS
First Name:RUBINA
Middle Name:ZAMIR
Last Name:HASSAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MS
Other - First Name:RUBINA
Other - Middle Name:ZAMIR
Other - Last Name:HASSAN-ZAMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:787 MARSHALL AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-6651
Mailing Address - Country:US
Mailing Address - Phone:917-679-3211
Mailing Address - Fax:
Practice Address - Street 1:2760 - 62 BROADWAY
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023
Practice Address - Country:US
Practice Address - Phone:917-679-3211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-17
Last Update Date:2010-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0495071835P1200X
MN1149451835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy