Provider Demographics
NPI:1679313092
Name:HASSAN, KAMAL MAHER (MD)
Entity type:Individual
Prefix:MR
First Name:KAMAL
Middle Name:MAHER
Last Name:HASSAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:56-65 MAIN ST. NEW YORK-PRESBYTERIAN QUEENS
Mailing Address - Street 2:5TH FLOOR, ROOM S506
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355
Mailing Address - Country:US
Mailing Address - Phone:718-670-1347
Mailing Address - Fax:718-670-2456
Practice Address - Street 1:56-65 MAIN ST. NEW YORK-PRESBYTERIAN QUEENS
Practice Address - Street 2:5TH FLOOR, ROOM S506
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355
Practice Address - Country:US
Practice Address - Phone:718-670-1347
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-31
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program