Provider Demographics
NPI:1689700585
Name:ANTEBY, HANNAH (MSW)
Entity Type:Individual
Prefix:MS
First Name:HANNAH
Middle Name:
Last Name:ANTEBY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 E 17TH ST
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11746-2914
Mailing Address - Country:US
Mailing Address - Phone:631-351-6222
Mailing Address - Fax:
Practice Address - Street 1:45 E 17TH ST
Practice Address - Street 2:
Practice Address - City:HUNTINGTON STATION
Practice Address - State:NY
Practice Address - Zip Code:11746-2914
Practice Address - Country:US
Practice Address - Phone:631-351-6222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker