Organization
FRONT STREET MEDICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EHAB HASSANAIN M.D. (M.D./OWNER)
(516) 505-9505
Entity
Organization
Contact information
Practice address
475 FRONT ST, HEMPSTEAD, NY 11550-4229
(516) 505-9505
(516) 505-5202
Mailing address
475 FRONT ST, HEMPSTEAD, NY 11550-4229
(516) 505-9505
(516) 505-5202
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03010506
—
NY
05
—
03589131
—
NY
01
—
A400052656
MEDICARE ID
NY
01
—
X72371
MEDICARE ID
NY
Enumeration date
01/13/2016
Last updated
05/16/2016
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