Individual
TAHSIN NAFIS HASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
PUTNAM HALL SOUTH CAMPUS, STONY BROOK, NY 11794-2412
(631) 632-3106
Mailing address
101 NICOLLS RD # HSCT-10, STONY BROOK, NY 11794-0001
(631) 848-6660
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
301376
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/20/2015
Last updated
02/21/2020
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