Provider Demographics
NPI:1578160040
Name:HOBDY, QIANA
Entity Type:Individual
Prefix:
First Name:QIANA
Middle Name:
Last Name:HOBDY
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 1:159 LAUREL ST
Mailing Address - Street 2:
Mailing Address - City:ROSLYN HTS
Mailing Address - State:NY
Mailing Address - Zip Code:11577-1322
Mailing Address - Country:US
Mailing Address - Phone:917-701-1892
Mailing Address - Fax:
Practice Address - Street 1:80 ORVILLE DR
Practice Address - Street 2:
Practice Address - City:BOHEMIA
Practice Address - State:NY
Practice Address - Zip Code:11716-2534
Practice Address - Country:US
Practice Address - Phone:917-701-1892
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-07
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker