Individual
HEBBA B TAHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10819 ROCKAWAY BLVD, SOUTH OZONE PARK, NY 11420-1034
(718) 845-2620
Mailing address
5 BIRCHWOOD CT APT 4A, MINEOLA, NY 11501-4516
(845) 430-2546
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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