Individual
MASHFIQ HASAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-2972
(585) 461-3614
Mailing address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-2972
(585) 461-3614
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
322544-01
NY
208000000X
Pediatrics Physician
LP04986
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2020
Last updated
07/03/2023
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