Healthcare Provider Details

I. General information

NPI: 1164239091
Provider Name (Legal Business Name): HANADI SALAH IBRAHIM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2024
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 RIVER ST STE 9
HOBOKEN NJ
07030-5990
US

IV. Provider business mailing address

5740 SAN FELIPE ST APT 431
HOUSTON TX
77057-3419
US

V. Phone/Fax

Practice location:
  • Phone: 201-431-2161
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: