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KHAWAJA ALI HASSAN PHYSICIAN PC NPI 1104189406


NPI Information

NPI: 1104189406
Provider Name: KHAWAJA ALI HASSAN, PHYSICIAN, PC
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
36 LINCOLN AVE
ROCKVILLE CENTRE, NY
ZIP 11570
Phone: (516) 678-4451
Get Directions

KHAWAJA ALI HASSAN, PHYSICIAN, PC is a plastic and reconstructive surgery surgery in Rockville Centre, NY. The provider is a surgeon who specializes in plastic and reconstructive surgery. KHAWAJA ALI HASSAN, PHYSICIAN, PC NPI is 1104189406. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

36 LINCOLN AVE
ROCKVILLE CENTRE, NY
ZIP 11570-768
Phone: (516) 678-4451

The provider's authorized official is Khawaja Ali Hassan .
The authorized official title is Owner and has the following contact phone number (516) 678-4451.

The enumeration date for this NPI number is 6/21/2012 and was last updated on 11/9/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0122XSurgeryPlastic and Reconstructive SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
137A391MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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