Healthcare Provider Details

I. General information

NPI: 1891681235
Provider Name (Legal Business Name): MS. HANAA BENYAMEEN THABIT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2025
Last Update Date: 06/13/2025
Certification Date: 06/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2833 W 31ST ST
BROOKLYN NY
11224-1858
US

IV. Provider business mailing address

2833 W 31ST ST
BROOKLYN NY
11224-1858
US

V. Phone/Fax

Practice location:
  • Phone: 347-471-9785
  • Fax:
Mailing address:
  • Phone: 347-471-9785
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number1403038
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: