Individual
HEMAILA SHANZEH TARIQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 DUFFY AVE, HICKSVILLE, NY 11801-3636
(631) 600-3029
Mailing address
100 DUFFY AVE, HICKSVILLE, NY 11801-3636
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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