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NPI Code Detail

MEDICARE: HASSAN EL KHAMSI

MEDICARE: HASSAN EL KHAMSI
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
1163W00000XRegistered Nurse711774-1NY

General Provider Information

NPI Number : 1043643463
Entity Type Code : Individual
Provider Name (Legal Business Name) : HASSAN EL KHAMSI
Provider Business Mailing Address
First Line : 300 HARRISON AVE APT 1
Second Line :
City : HARRISON
State : NJ
Zip : 07029-1761
Country : US
Telephone Number : 973-384-7202
Fax Number :
Provider Business Practice Location Address
First Line : 801 E 241ST ST
Second Line :
City : BRONX
State : NY
Zip : 10470-1303
Country : US
Telephone Number : 718-671-2100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2013
Last Update Date : 03/17/2018

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Directions to “ HASSAN EL KHAMSI ” Practice Location

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