Individual
DR. SHADY ELSAYED HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
409 FULTON ST, 2ND FLOOR, BROOKLYN, NY 11201-5103
(718) 260-1000
(718) 260-0072
Mailing address
63 OTTAVIO PROMENADE, STATEN ISLAND, NY 10307-2410
(917) 882-7990
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA09992600
NJ
208100000X
Physical Medicine & Rehabilitation Physician
276803
NY
208100000X
Physical Medicine & Rehabilitation Physician
33376
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/10/2009
Last updated
07/21/2022
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