Provider Demographics
NPI:1407193295
Name:ABDELAZIZ, HODA HASSAN (FNP)
Entity Type:Individual
Prefix:MRS
First Name:HODA
Middle Name:HASSAN
Last Name:ABDELAZIZ
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1396 MYRTLE AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11237-4513
Mailing Address - Country:US
Mailing Address - Phone:718-919-1000
Mailing Address - Fax:718-919-9700
Practice Address - Street 1:1396 MYRTLE AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11237-4513
Practice Address - Country:US
Practice Address - Phone:718-919-1000
Practice Address - Fax:718-919-9700
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-14
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF337537-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily