Individual
HANIA MAHMOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4-14 SADDLE RIVER RD STE 202, FAIR LAWN, NJ 07410-5624
(201) 797-2747
Mailing address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
(516) 850-7530
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00727800
NJ
152WX0102X
Occupational Vision Optometrist
TUV009831-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
TUV009831-01
NY
Other
Enumeration date
07/10/2023
Last updated
07/17/2025
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