MEDICARE: CITY CARE HEALTH PRACTICE RPA PLLC

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
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1255204046
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY CARE HEALTH PRACTICE RPA PLLC

Provider Business Mailing Address
First Line	:	615 WESTMINSTER RD APT 2H
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-1675
Country	:	US
Telephone Number	:	646-470-5096
Fax Number	:

Provider Business Practice Location Address
First Line	:	29 NEWKIRK PLZ STE 1
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11226-6525
Country	:	US
Telephone Number	:	646-470-5096
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	HAMAAD HASSAN
Credential	:	DMSC, PA-C
Telephone Number	:	646-470-5096

Provider Enumeration Date	:	09/26/2025
Last Update Date	:	09/29/2025

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