# FRONT STREET MEDICAL, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407212962
- **Authorized official:** DR. EHAB HASSANAIN M.D. (M.D./OWNER)
- **Authorized official phone:** (516) 505-9505

## Contact information

- **Practice address:** 475 FRONT ST, HEMPSTEAD, NY 11550-4229
- **Practice address phone:** (516) 505-9505
- **Practice address fax:** (516) 505-5202
- **Mailing address:** 475 FRONT ST, HEMPSTEAD, NY 11550-4229
- **Mailing address phone:** (516) 505-9505
- **Mailing address fax:** (516) 505-5202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 01/13/2016
- **Last updated:** 05/16/2016
