MEDICARE: DR. HASAN MASOOD DPM

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	213ES0103X	Foot & Ankle Surgery Podiatrist	N007169-01	NY
2	213ES0103X	Foot & Ankle Surgery Podiatrist	2051	NV

General Provider Information

NPI Number	:	1598210031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HASAN MASOOD DPM

Provider Business Mailing Address
First Line	:	222 MAMARONECK AVE STE 310
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10605-1316
Country	:	US
Telephone Number	:	914-222-0115
Fax Number	:	914-828-0270

Provider Business Practice Location Address
First Line	:	222 MAMARONECK AVE STE 310
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10605-1316
Country	:	US
Telephone Number	:	914-222-0115
Fax Number	:	914-828-0270

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2016
Last Update Date	:	11/20/2024

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