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NPI Code Detail

MEDICARE: HAILEI MOHAMMED

MEDICARE: HAILEI MOHAMMED
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
1171M00000XCase Manager/Care CoordinatorNY

General Provider Information

NPI Number : 1306775580
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAILEI MOHAMMED
Provider Business Mailing Address
First Line : 7000 AUSTIN ST STE 200
Second Line :
City : FOREST HILLS
State : NY
Zip : 11375-4739
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7000 AUSTIN ST STE 200
Second Line :
City : FOREST HILLS
State : NY
Zip : 11375-4739
Country : US
Telephone Number : 718-762-7633
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2026
Last Update Date : 05/14/2026

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