Provider Demographics
NPI:1568241206
Name:HAMED, HAGGER
Entity Type:Individual
Prefix:
First Name:HAGGER
Middle Name:
Last Name:HAMED
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 1:8330 AUSTIN ST
Mailing Address - Street 2:#150301
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415-9997
Mailing Address - Country:US
Mailing Address - Phone:917-268-7517
Mailing Address - Fax:
Practice Address - Street 1:8330 AUSTIN ST
Practice Address - Street 2:#150301
Practice Address - City:KEW GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11415-9997
Practice Address - Country:US
Practice Address - Phone:917-268-7517
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-22
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013100101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health