Provider Demographics
NPI:1639949365
Name:ABDELQADER, SIHAM BASEM (MHC-LP)
Entity type:Individual
Prefix:
First Name:SIHAM
Middle Name:BASEM
Last Name:ABDELQADER
Suffix:
Gender:F
Credentials:MHC-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15815 75TH AVE
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11366-1025
Mailing Address - Country:US
Mailing Address - Phone:347-302-1288
Mailing Address - Fax:
Practice Address - Street 1:15815 75TH AVE
Practice Address - Street 2:
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11366-1025
Practice Address - Country:US
Practice Address - Phone:347-302-1288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-04
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health