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Organization
KNICKERBOCKER MEDICAL CARE P.C.
Active
Organization
KNICKERBOCKER MEDICAL CARE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYED SHAHID HASSAN M.D. (M.D.)
(718) 456-1900
Entity
Organization
Contact information
Practice address
8820 169TH ST, JAMAICA, NY 11432-4431
(718) 739-1199
(718) 739-1579
Mailing address
739 KNICKERBOCKER AVE, BROOKLYN, NY 11221-5336
(718) 456-1900
(718) 456-8709
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
196128
NY
208000000X
Pediatrics Physician
209514
NY
Other
Enumeration date
07/24/2008
Last updated
07/31/2008
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