Individual
TAHANI SHIHADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
860 MELROSE AVE FRNT 2L, BRONX, NY 10451-5757
(917) 473-6996
Mailing address
860 MELROSE AVE FRNT 2L, BRONX, NY 10451-5757
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/02/2022
Last updated
09/11/2025
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