Individual
DR. LUKMAN ALI HASSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 NICOLLS RD, HSCT-17-040, STONY BROOK, NY 11794
(631) 444-9079
Mailing address
86104 CIRCLE DR, CENTRAL ISLIP, NY 11722-5211
(347) 603-6552
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
311363
NY
Other
Enumeration date
04/08/2015
Last updated
07/21/2021
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