Provider Demographics
NPI:1992587208
Name:HASSAN, ERICK
Entity type:Individual
Prefix:
First Name:ERICK
Middle Name:
Last Name:HASSAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2018 VOORHIES AVE APT A6
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-2937
Mailing Address - Country:US
Mailing Address - Phone:646-763-4552
Mailing Address - Fax:
Practice Address - Street 1:2018 VOORHIES AVE APT A6
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-2937
Practice Address - Country:US
Practice Address - Phone:646-763-4552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-20
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst