Provider Demographics
NPI:1437642337
Name:HASAN, FAIZ MOHAMMED (MD)
Entity type:Individual
Prefix:DR
First Name:FAIZ
Middle Name:MOHAMMED
Last Name:HASAN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1819 26TH RD
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11102-3540
Mailing Address - Country:US
Mailing Address - Phone:347-337-2531
Mailing Address - Fax:
Practice Address - Street 1:281 N STATE ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-3227
Practice Address - Country:US
Practice Address - Phone:603-851-2824
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-14
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMD289442084P0800X
NH229152084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty