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Individual

DR. ADA HASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
14402 JEWEL AVE, FLUSHING, NY 11367-1744
(718) 880-2050
(718) 880-2052
Mailing address
PO BOX 231307, GREAT NECK, NY 11023-0307

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
151792
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02023187
NY
Enumeration date
02/20/2006
Last updated
09/29/2010
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