Provider Demographics
NPI:1467864272
Name:HAKAKIAN, BEHZAD (DC)
Entity Type:Individual
Prefix:DR
First Name:BEHZAD
Middle Name:
Last Name:HAKAKIAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 S 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08904-2812
Mailing Address - Country:US
Mailing Address - Phone:732-983-2685
Mailing Address - Fax:
Practice Address - Street 1:317 CLEVELAND AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:HIGHLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:08904-1817
Practice Address - Country:US
Practice Address - Phone:732-545-4000
Practice Address - Fax:732-545-4001
Is Sole Proprietor?:No
Enumeration Date:2014-05-28
Last Update Date:2014-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00567200111N00000X
NYX009761-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor