| Izabelle Hakim Lcsw Pllc | |
|
55 Northern Blvd Ste 406 Great Neck NY 11021-4058 | |
| (516) 726-0301 | |
| Not Available |
| Full Name | Izabelle Hakim Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 55 Northern Blvd Ste 406, Great Neck, New York |
| Authorized Official Name and Position | Izabelle Reyhanian Hakim (OWNER) |
| Authorized Official Contact | 5167260301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Izabelle Hakim Lcsw Pllc 55 Northern Blvd Ste 406 Great Neck NY 11021-4058 Ph: (516) 726-0301 | Izabelle Hakim Lcsw Pllc 55 Northern Blvd Ste 406 Great Neck NY 11021-4058 Ph: (516) 726-0301 |
| NPI Number | 1184265860 |
|---|---|
| Provider Enumeration Date | 10/03/2019 |
| Last Update Date | 10/03/2019 |
| Medicare PECOS PAC ID | 1850725235 |
|---|---|
| Medicare Enrollment ID | O20191217002219 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184265860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Izabelle Reyhanian Hakim |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205149689 PECOS PAC ID: 9133302680 Enrollment ID: I20110322000394 |
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