Individual
DR. MAFUJUL HASAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4014 GREENPOINT AVE, SUNNYSIDE, NY 11104-3618
(718) 392-2858
(718) 392-2752
Mailing address
4014 GREENPOINT AVE, SUNNYSIDE, NY 11104-3618
(718) 392-2858
(718) 392-2752
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
044293
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01358805
—
NY
Enumeration date
10/20/2005
Last updated
06/29/2011
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