Individual
REHAM HASSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-9877
(718) 226-8051
Mailing address
63 OTTAVIO PROMENADE, STATEN ISLAND, NY 10307-2410
(917) 416-8814
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
059536-1
NY
1223P0221X
Pediatric Dentistry
Primary
22DI02692500
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2016
Last updated
05/17/2021
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