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Organization

KHAWAJA ALI HASSAN, PHYSICIAN, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KHAWAJA ALI HASSAN MD FACS (OWNER)
(516) 678-4451
Entity
Organization

Contact information

Practice address
36 LINCOLN AVE, ROCKVILLE CENTRE, NY 11570-5768
(516) 678-4451
Mailing address
36 LINCOLN AVE, ROCKVILLE CENTRE, NY 11570-5768
(516) 678-4451

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary

Other

Enumeration date
06/21/2012
Last updated
11/09/2012
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