Organization
REACH POTENTIAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARYHAN ABDELAZIM PHD (FOUNDER)
(929) 310-0057
Entity
Organization
Contact information
Practice address
6 HENRY PL, STATEN ISLAND, NY 10305-1317
(347) 980-4112
Mailing address
418 BROADWAY STE 8587, ALBANY, NY 12207-2922
(347) 980-4112
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
171400000X
Health & Wellness Coach
—
—
251B00000X
Case Management Agency
—
—
261QC1800X
Corporate Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/05/2026
Last updated
06/12/2026
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