MEDICARE: DR. RANA HASSAN M.D., P.C

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	207R00000X	Internal Medicine Physician	225093-1	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	068946	OTHER	NY	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	267AL1	OTHER		EMPIRE BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467450759
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RANA HASSAN M.D., P.C

Provider Business Mailing Address
First Line	:	71 FRANKLIN AVE
Second Line	:
City	:	FRANKLIN SQUARE
State	:	NY
Zip	:	11010-2523
Country	:	US
Telephone Number	:	516-216-1690
Fax Number	:

Provider Business Practice Location Address
First Line	:	71 FRANKLIN AVE
Second Line	:
City	:	FRANKLIN SQUARE
State	:	NY
Zip	:	11010-2523
Country	:	US
Telephone Number	:	516-216-1690
Fax Number	:

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

Provider Enumeration Date	:	07/11/2005
Last Update Date	:	09/06/2023

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