Most Relevant Information
Provider Data
| NPI Number: | 1003178906 |
| Provider Name: | THERESA HASOU |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/15/2012 |
| Last Updated: | 06/15/2012 |
Provider Practice Location
42 LINDEN ST
YONKERS
NY
107017133
Practice Location Phone/Fax
| Phone: | 9148032054 |
| Fax: |
Provider Mailing Location
42 LINDEN ST
YONKERS
NY
107017133
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |