Provider Demographics
NPI:1306584073
Name:HAZEM HAMED
Entity type:Organization
Organization Name:HAZEM HAMED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:HAZEM
Authorized Official - Middle Name:FAWZY MOAHMED
Authorized Official - Last Name:HAMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-464-3526
Mailing Address - Street 1:3121 29TH ST APT 5J
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11106-3387
Mailing Address - Country:US
Mailing Address - Phone:631-464-3526
Mailing Address - Fax:
Practice Address - Street 1:3121 29TH ST APT 5J
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11106-3387
Practice Address - Country:US
Practice Address - Phone:631-464-3526
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-23
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty