Provider Demographics
NPI:1558659268
Name:HABEBA PROFESSIONALS INC
Entity Type:Organization
Organization Name:HABEBA PROFESSIONALS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WALEED
Authorized Official - Middle Name:AHMED
Authorized Official - Last Name:ELZAYAT
Authorized Official - Suffix:
Authorized Official - Credentials:PT,DPT,CCI
Authorized Official - Phone:1646-645-3166
Mailing Address - Street 1:111 WINFIELD ST
Mailing Address - Street 2:B
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10305-3545
Mailing Address - Country:US
Mailing Address - Phone:646-645-3166
Mailing Address - Fax:718-979-1263
Practice Address - Street 1:111 WINFIELD ST
Practice Address - Street 2:B
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10305-3545
Practice Address - Country:US
Practice Address - Phone:646-645-3166
Practice Address - Fax:718-979-1263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-14
Last Update Date:2011-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021306252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency