Healthcare Provider Details

I. General information

NPI: 1164368320
Provider Name (Legal Business Name): HODEENA ELSAYED
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 MACKAY PL
BROOKLYN NY
11209-1040
US

IV. Provider business mailing address

15 MACKAY PL APT 4J
BROOKLYN NY
11209-1016
US

V. Phone/Fax

Practice location:
  • Phone: 917-325-2154
  • Fax:
Mailing address:
  • Phone: 917-325-2154
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number036544
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: