Provider Demographics
NPI:1316576150
Name:ABU-HAKMEH, TESNEAM E
Entity Type:Individual
Prefix:
First Name:TESNEAM
Middle Name:E
Last Name:ABU-HAKMEH
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 1:406 POST AVE
Mailing Address - Street 2:
Mailing Address - City:LYNDHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:07071-2421
Mailing Address - Country:US
Mailing Address - Phone:201-931-6086
Mailing Address - Fax:
Practice Address - Street 1:60 COURT ST STE 5
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-7041
Practice Address - Country:US
Practice Address - Phone:201-786-7863
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-03
Last Update Date:2020-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01914500225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist