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General NPI Number Information
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NPI Number | 1801435748
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Entity Type | Individual
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Provider Name | HASSAN SHAHEED GREENIDGE PA
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Gender | Male
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Dates
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Enumeration Date | 12/23/2019
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 577 FULTON AVE APT 2H
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City | HEMPSTEAD
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State | NY
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Zip | 11550-4365
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Country | US
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Telephone | 516-670-6161
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Fax |
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Provider Business Mailing Address
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Address Line | 577 FULTON AVE APT 2H
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City | HEMPSTEAD
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State | NY
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Zip | 11550-4365
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Country | US
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Telephone | 516-670-6161
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 25MP00682200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | NY
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