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Dr. Lukman Ali Hassan, MD

Internal Medicine, Pulmonary Disease in Stony Brook, NY. Individual provider (NPI-1).

NPI number1265828016
StatusActive
Last updated in NPPESJul 21, 2021

Details

NPI
1265828016
Entity type
Individual (NPI-1)
Name
Dr. Lukman Ali Hassan
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 8, 2015
Certification date
Jul 21, 2021
Last updated
Jul 21, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RP1001X Internal Medicine, Pulmonary Disease311363NYYes

Practice location

101 Nicolls Rd
Hsct-17-040
Stony Brook, NY 11794

Phone 631-444-9079

Mailing address

86104 Circle Dr
Central Islip, NY 11722-5211

Phone 347-603-6552

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