Provider Demographics
NPI:1144576687
Name:YOUSSEF, MARIANA NASHAAT
Entity Type:Individual
Prefix:
First Name:MARIANA
Middle Name:NASHAAT
Last Name:YOUSSEF
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 1:706 WOODWARD AVE
Mailing Address - Street 2:APARTMENT 2L
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11385-2925
Mailing Address - Country:US
Mailing Address - Phone:917-957-8729
Mailing Address - Fax:
Practice Address - Street 1:706 WOODWARD AVE
Practice Address - Street 2:APARTMENT 2L
Practice Address - City:RIDGEWOOD
Practice Address - State:NY
Practice Address - Zip Code:11385-2925
Practice Address - Country:US
Practice Address - Phone:917-957-8729
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-02
Last Update Date:2012-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker