Provider Demographics
NPI:1174859912
Name:ADAIME, HAMED NAZIN (PHD)
Entity Type:Individual
Prefix:DR
First Name:HAMED
Middle Name:NAZIN
Last Name:ADAIME
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 193
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:NY
Mailing Address - Zip Code:13673-0193
Mailing Address - Country:US
Mailing Address - Phone:575-644-8824
Mailing Address - Fax:888-418-7407
Practice Address - Street 1:87 MAIN ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:NY
Practice Address - Zip Code:13673-2185
Practice Address - Country:US
Practice Address - Phone:575-644-8824
Practice Address - Fax:888-418-7407
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-29
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003444101YM0800X
NM0104001101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health