Individual
REBECCA HASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-6911
Mailing address
1820 AVENUE N, APT. 5C, BROOKLYN, NY 11230-6106
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
381948
NY
Other
Enumeration date
08/25/2009
Last updated
05/05/2014
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