# ASTORIA MIND INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699463190
- **Authorized official:** HASSAN IBRAHIM NP (OWNER/PROVIDER)
- **Authorized official phone:** (929) 801-1540

## Contact information

- **Practice address:** 2001 37TH ST, ASTORIA, NY 11105-1627
- **Practice address phone:** (929) 801-1540
- **Mailing address:** 5611 30TH AVE, WOODSIDE, NY 11377-7956
- **Mailing address phone:** (929) 801-1540

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/24/2023
- **Last updated:** 04/24/2023