Hassan Abdul-Malik, LMSW
Individual provider Active NPI Social Worker · Montrose, NY
NPI 1497988968 · NPPES record last updated Aug 31, 2009
Key facts
- NPI
- 1497988968
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 079588-1 (NY)
- Practice address
- 2094 Albany Post Rd
B12, RM. 135
Montrose, NY 10548-1454 - Phone
- (914) 737-4400
- Fax
- (914) 788-4293
- NPI assigned
- Aug 31, 2009
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 079588-1 | NY | MD | Social Worker |
| 079922 | NY | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 079588-1 | NY | Yes |
Addresses
Primary practice location
2094 Albany Post Rd
B12, RM. 135
Montrose, NY 10548-1454
Mailing address
68 Glenwood Ave
Poughkeepsie, NY 12603-3331
Phone (845) 452-2484
Other providers in Montrose, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.