Provider Demographics
NPI:1417635558
Name:KASED, MAJDOLEEN OMAR
Entity Type:Individual
Prefix:
First Name:MAJDOLEEN
Middle Name:OMAR
Last Name:KASED
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 1:357 LORING RD
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-1020
Mailing Address - Country:US
Mailing Address - Phone:347-852-0788
Mailing Address - Fax:
Practice Address - Street 1:756B S BROADWAY
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-5061
Practice Address - Country:US
Practice Address - Phone:516-879-0500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRBT-23-283610106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician