Provider Demographics
NPI:1982927786
Name:ELHASSANIN, HANAN L (RPH)
Entity Type:Individual
Prefix:MRS
First Name:HANAN
Middle Name:L
Last Name:ELHASSANIN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 CEDAR AVE
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603-4725
Mailing Address - Country:US
Mailing Address - Phone:845-444-4161
Mailing Address - Fax:
Practice Address - Street 1:722 DUTCHESS TPKE
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12603-6430
Practice Address - Country:US
Practice Address - Phone:845-452-7117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-08
Last Update Date:2024-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000098183500000X
NY056390183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist