Provider Demographics
NPI:1184342354
Name:HASSID, ALONA TAMAR
Entity type:Individual
Prefix:
First Name:ALONA
Middle Name:TAMAR
Last Name:HASSID
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALONA
Other - Middle Name:TAMAR
Other - Last Name:BARZILAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:202 LINWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:CEDARHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11516-1718
Mailing Address - Country:US
Mailing Address - Phone:917-562-9292
Mailing Address - Fax:
Practice Address - Street 1:202 LINWOOD AVE
Practice Address - Street 2:
Practice Address - City:CEDARHURST
Practice Address - State:NY
Practice Address - Zip Code:11516-1718
Practice Address - Country:US
Practice Address - Phone:917-562-9292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-15
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY857975252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency