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Organization

ASTORIA MIND INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HASSAN IBRAHIM NP (OWNER/PROVIDER)
(929) 801-1540
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
04/24/2023
Last updated
04/24/2023
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