Hasan, Choudhury Manjurul
Hasan, Choudhury Manjurul is an individual health care provider with primary practice located at 8405 169Th St , Jamaica NY 11432-2033. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Hasan, Choudhury Manjurul can be contacted via phone (718) 657-8001.Contact Information
Primary practice address
8405 169Th St
Jamaica NY 11432-2033
Phone: (718) 657-8001
Fax: (718) 732-0783
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 193570 | New York |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 193570 | New York |
Profile Details
| NPI number | 1780661009 |
|---|---|
| LBN Legal business name | Hasan, Choudhury Manjurul |
| Credentials | M.D FACC, FCCP,FSACI |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2005 |
| Last updated | Sep 25th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780661009 | NPPES |
| New York | MEDICAID | 01878124 |
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