Healthcare Provider Details

I. General information

NPI: 1568447241
Provider Name (Legal Business Name): HAIDY MANKARIOS BEHMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/14/2005
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48 PULASKI AVE
CARTERET NJ
07008-2509
US

IV. Provider business mailing address

48 PULASKI AVE
CARTERET NJ
07008-2509
US

V. Phone/Fax

Practice location:
  • Phone: 732-541-0340
  • Fax: 732-541-1451
Mailing address:
  • Phone: 732-541-0340
  • Fax: 732-541-1451

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number25MA06382500
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License Number25MA06382500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: