Organization
DYNAMIC MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHOUDHURY S HASAN MD (OWNER/PHYSICIAN)
(516) 488-9427
Entity
Organization
Contact information
Practice address
13313 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419
(516) 488-9427
Mailing address
13313 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419
(516) 488-9427
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
06/25/2013
Last updated
06/25/2013
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