MEDICARE: HAKIMA 2 LLC

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	252Y00000X	Early Intervention Provider Agency

General Provider Information

NPI Number	:	1588254890
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAKIMA 2 LLC

Provider Business Mailing Address
First Line	:	85 BRONX RIVER RD APT 5R
Second Line	:
City	:	YONKERS
State	:	NY
Zip	:	10704-4408
Country	:	US
Telephone Number	:	914-548-3969
Fax Number	:

Provider Business Practice Location Address
First Line	:	85 BRONX RIVER RD APT 5R
Second Line	:
City	:	YONKERS
State	:	NY
Zip	:	10704-4408
Country	:	US
Telephone Number	:	914-548-3969
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JASMINE A. ERSKINE
Credential	:
Telephone Number	:	914-548-3969

Provider Enumeration Date	:	01/20/2021
Last Update Date	:	01/21/2021

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Directions to “HAKIMA 2 LLC ” Practice Location

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