Healthcare Provider Details

I. General information

NPI: 1952784688
Provider Name (Legal Business Name): AMIRA HANNA PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2015
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68 35TH ST
BROOKLYN NY
11232-2019
US

IV. Provider business mailing address

68 35TH ST
BROOKLYN NY
11232-2019
US

V. Phone/Fax

Practice location:
  • Phone: 347-201-0307
  • Fax:
Mailing address:
  • Phone: 347-201-0307
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number025316
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: