Organization
HASAN KHONDKER MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HASAN K KHONDKER MD (AUTHORIZED REP)
(631) 727-5112
Entity
Organization
Contact information
Practice address
758 HARRISON AVE, 758 HARRISON AVENUE, RIVERHEAD, NY 11901-2744
(631) 727-5112
(631) 727-9061
Mailing address
758 HARRISON AVE, EASTERN SUFFOLK NEPHROLOGY, RIVERHEAD, NY 11901-2744
(631) 727-5112
(631) 727-9061
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
NY
Other
Enumeration date
09/09/2015
Last updated
11/30/2015
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