Individual
DR. FAIROUZ NOURI HASSELMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
45 READE PL, POUGHKEEPSIE, NY 12601-3947
(845) 454-8500
Mailing address
1351 ROUTE 55, SUITE 200, LAGRANGEVILLE, NY 12540-5108
(845) 475-9660
(845) 475-9938
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
249042
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
249042
NY
207RP1001X
Pulmonary Disease Physician
249042
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03503317
—
NY
Enumeration date
03/10/2008
Last updated
02/10/2017
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