Provider Demographics
NPI:1801123625
Name:YASIN HAKIM, AMEENA (RN, MSN)
Entity type:Individual
Prefix:
First Name:AMEENA
Middle Name:
Last Name:YASIN HAKIM
Suffix:
Gender:F
Credentials:RN, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101-53-116 STREET
Mailing Address - Street 2:
Mailing Address - City:S. RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11419
Mailing Address - Country:US
Mailing Address - Phone:917-622-2662
Mailing Address - Fax:718-805-2409
Practice Address - Street 1:6321 NEW UTRECHT AVE
Practice Address - Street 2:GNY HOMECARE 2ND FL
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-5425
Practice Address - Country:US
Practice Address - Phone:718-388-4100
Practice Address - Fax:718-799-1044
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-16
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY620363163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse