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Individual

USAMA HASAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
100 WOODS RD, VALHALLA, NY 10595-1530
(914) 493-8550
Mailing address
19 BRADHURST AVE STE 3100N, HAWTHORNE, NY 10532-2140
(914) 909-9018
(914) 909-9028

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
282563
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
282563
NYS LICENSE
NY
Enumeration date
06/24/2014
Last updated
05/15/2019
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