Provider Demographics
NPI:1871870071
Name:HASAN, DONNA MARIE (RN)
Entity type:Individual
Prefix:MS
First Name:DONNA
Middle Name:MARIE
Last Name:HASAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 EMORY RD
Mailing Address - Street 2:
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-2363
Mailing Address - Country:US
Mailing Address - Phone:516-237-2580
Mailing Address - Fax:516-237-2508
Practice Address - Street 1:200 EMORY RD
Practice Address - Street 2:
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-2363
Practice Address - Country:US
Practice Address - Phone:516-237-2580
Practice Address - Fax:516-237-2508
Is Sole Proprietor?:No
Enumeration Date:2011-11-16
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY221731163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse