Provider Demographics
NPI:1134475155
Name:ABDELRASOUL, JIHAN Z
Entity Type:Individual
Prefix:MRS
First Name:JIHAN
Middle Name:Z
Last Name:ABDELRASOUL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:918 BAY RIDGE PKWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11228-2302
Mailing Address - Country:US
Mailing Address - Phone:347-524-2697
Mailing Address - Fax:347-464-5570
Practice Address - Street 1:13620 38TH AVE
Practice Address - Street 2:SUITE 7J
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-4277
Practice Address - Country:US
Practice Address - Phone:718-670-0006
Practice Address - Fax:718-701-5883
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-27
Last Update Date:2018-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY14000034100231H00000X
NY0023801237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter