Provider Demographics
NPI:1801177076
Name:H. SASSON, M.D., P.C.
Entity type:Organization
Organization Name:H. SASSON, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROMINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SASSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-487-5017
Mailing Address - Street 1:1000 NORTHERN BLVD
Mailing Address - Street 2:SUITE 370
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021
Mailing Address - Country:US
Mailing Address - Phone:516-487-5017
Mailing Address - Fax:516-487-7839
Practice Address - Street 1:1000 NORTHERN BLVD
Practice Address - Street 2:SUITE 370
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021
Practice Address - Country:US
Practice Address - Phone:516-487-5017
Practice Address - Fax:516-487-2839
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:H. SASSON MD PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-09-01
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY202669208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
E97635Medicare UPIN