Most Relevant Information
Provider Data
NPI Number: | 1003366493 |
Provider Name: | TYLER JAMES HASSAN |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: | 008962 |
Most Important Dates
Enumeration Date: | 10/10/2016 |
Last Updated: | 09/27/2018 |
Provider Practice Location
285 LIVINGSTON ST
BROOKLYN
NY
112171006
Practice Location Phone/Fax
Phone: | 7189359201 |
Fax: | 7187972892 |
Provider Mailing Location
2323 62ND ST APT 2R
BROOKLYN
NY
112042640
Provider Mailing Phone/Fax
Phone: | 8452391133 |
Fax: |