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Organization
S M HASNAYEN MEDICAL OFFICE PLLC
Active
Organization
S M HASNAYEN MEDICAL OFFICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANA LOPEZ (CRDENTIALS COORDINATOR)
(646) 283-2741
Entity
Organization
Contact information
Practice address
8712 175TH ST # 2A, JAMAICA, NY 11432-5776
(718) 395-6914
(718) 395-1737
Mailing address
138 ROBBY LN, NEW HYDE PARK, NY 11040-1107
(718) 395-6914
(718) 395-1737
Taxonomy
Speciality
Code
Description
License number
State
207LH0002X
Hospice and Palliative Medicine (Anesthesiology) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
258041
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03441412
—
NY
Enumeration date
07/14/2017
Last updated
07/14/2017
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