Healthcare Provider Details

I. General information

NPI: 1477474534
Provider Name (Legal Business Name): SARA HELMY MABROUK HASANIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5102 CLARENDON ROAD 1ST FLOOR
BROOKLYN NY
11203-5329
US

IV. Provider business mailing address

1545 ATLANTIC AVE
BROOKLYN NY
11213-1122
US

V. Phone/Fax

Practice location:
  • Phone: 347-739-6421
  • Fax:
Mailing address:
  • Phone: 718-613-4000
  • Fax: 718-935-7588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: