Individual
RUDABAH HASAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
140 LOCKWOOD AVE, SUITE 308, NEW ROCHELLE, NY 10801-4915
(914) 636-5700
(917) 210-6669
Mailing address
55 HARMON AVE, PELHAM, NY 10803-1709
(914) 636-5700
(917) 210-6669
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
237703
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02150503
—
NY
01
—
237703
NEW YORK LICENSE NUMBER
NY
Enumeration date
03/29/2006
Last updated
12/03/2010
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