Individual
GANIMETE HYSAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6939 YELLOWSTONE BLVD, FOREST HILLS, NY 11375-3795
(917) 664-4067
Mailing address
6939 YELLOWSTONE BLVD APT 110, FOREST HILLS, NY 11375-3726
(917) 564-4067
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NY
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
Other
Enumeration date
01/18/2024
Last updated
02/26/2026
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