Healthcare Provider Details

I. General information

NPI: 1356751739
Provider Name (Legal Business Name): SAM LEE HASH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2014
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71 PROSPECT AVE
HUDSON NY
12534-2927
US

IV. Provider business mailing address

71 PROSPECT AVE
HUDSON NY
12534-2927
US

V. Phone/Fax

Practice location:
  • Phone: 518-828-8500
  • Fax:
Mailing address:
  • Phone: 518-828-8500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number292920
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD36138
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number292920
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: