| Doctor Name: | HURGUENS A JASMIN |
| NPI Number: | 1063599611 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | 071119-1 |
| Business Practice Address: | 269 S King St Elmont, NY - 110034234 |
| Business Phone Number: | 5169835367 |
| Business Fax Number: | |
| Mailing Address: | 1179 E 105th St, 2nd Floor BROOKLYN |
| State: | NY |
| Postal Code: | 112364663 |
| Phone Number: | 3477138766 |
| Fax Number: | |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 071119-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |