MEDICARE: HARITH ALHASAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	159252	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083684492
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HARITH ALHASAN MD

Provider Business Mailing Address
First Line	:	4459 AMBOY RD
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10312-3863
Country	:	US
Telephone Number	:	718-948-6177
Fax Number	:	718-948-8189

Provider Business Practice Location Address
First Line	:	33 WALT WHITMAN RD
Second Line	:	STE. 217
City	:	HUNTINGTON STATION
State	:	NY
Zip	:	11746-3640
Country	:	US
Telephone Number	:	631-271-5070
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2006
Last Update Date	:	05/08/2008

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Directions to “ HARITH ALHASAN MD” Practice Location

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