Individual
ANGELIQUE HASSANEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
235 MAIN ST STE 520, WHITE PLAINS, NY 10601-2421
(914) 315-7950
Mailing address
1500 ROUTE 112 BLDG 4, SUITE101, PORT JEFFERSON STATION, NY 11776
(631) 574-8354
(631) 509-6559
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
099624
NY
Other
Enumeration date
02/15/2017
Last updated
07/18/2019
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