Healthcare Provider Details

I. General information

NPI: 1902872591
Provider Name (Legal Business Name): HASC DIAGNOSTIC &TREATMENT CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2006
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 E 14TH ST
BROOKLYN NY
11230-4803
US

IV. Provider business mailing address

5601 1ST AVE
BROOKLYN NY
11220-2517
US

V. Phone/Fax

Practice location:
  • Phone: 718-434-4600
  • Fax: 718-434-6261
Mailing address:
  • Phone: 718-745-7575
  • Fax: 718-745-7596

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number7001298R
License Number StateNY

VIII. Authorized Official

Name: TZVI A KAHN
Title or Position: CEO
Credential:
Phone: 718-942-3888