Provider Demographics
NPI:1245982214
Name:MAHABIR, NOEL
Entity type:Individual
Prefix:
First Name:NOEL
Middle Name:
Last Name:MAHABIR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1795 BEDFORD AVE
Mailing Address - Street 2:
Mailing Address - City:MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-3502
Mailing Address - Country:US
Mailing Address - Phone:347-677-2386
Mailing Address - Fax:
Practice Address - Street 1:1000 FULTON AVE
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-1030
Practice Address - Country:US
Practice Address - Phone:516-463-6535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-21
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health