Provider Demographics
NPI:1386960557
Name:HASAN, SAMREEN (MD, MPH)
Entity type:Individual
Prefix:
First Name:SAMREEN
Middle Name:
Last Name:HASAN
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 E 60TH ST, SUITE 808
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-1795
Mailing Address - Country:US
Mailing Address - Phone:212-473-7888
Mailing Address - Fax:212-931-1888
Practice Address - Street 1:110 E 60TH ST, SUITE 808
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1795
Practice Address - Country:US
Practice Address - Phone:212-473-7888
Practice Address - Fax:212-931-1888
Is Sole Proprietor?:No
Enumeration Date:2010-04-13
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY266146207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine