Provider Demographics
NPI:1760182323
Name:HIJAZI, ALAA (PHD)
Entity Type:Individual
Prefix:DR
First Name:ALAA
Middle Name:
Last Name:HIJAZI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:447 BROADWAY FL 2
Mailing Address - Street 2:#1022
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-2562
Mailing Address - Country:US
Mailing Address - Phone:571-591-9973
Mailing Address - Fax:
Practice Address - Street 1:447 BROADWAY FL 2
Practice Address - Street 2:#1022
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-2562
Practice Address - Country:US
Practice Address - Phone:571-591-9973
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-03
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020270103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical