Most Relevant Information
Provider Data
| NPI Number: | 1003344318 |
| Provider Name: | FAIZAH HASAN |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 062833 |
Most Important Dates
| Enumeration Date: | 05/31/2017 |
| Last Updated: | 05/31/2017 |
Provider Practice Location
62 GOSHEN ST
ELMONT
NY
110035025
Practice Location Phone/Fax
| Phone: | 5166062484 |
| Fax: |
Provider Mailing Location
62 GOSHEN ST
ELMONT
NY
110035025
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |