MEDICARE: NOEL MAHABIR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1245982214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NOEL MAHABIR

Provider Business Mailing Address
First Line	:	1795 BEDFORD AVE
Second Line	:
City	:	MERRICK
State	:	NY
Zip	:	11566-3502
Country	:	US
Telephone Number	:	347-677-2386
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 FULTON AVE
Second Line	:
City	:	HEMPSTEAD
State	:	NY
Zip	:	11550-1030
Country	:	US
Telephone Number	:	516-463-6535
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/21/2022
Last Update Date	:	01/21/2022

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Directions to “ NOEL MAHABIR ” Practice Location

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