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NPI Code Detail

MEDICARE: ALYSSA HACKMANN

MEDICARE: ALYSSA HACKMANN
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
1101YM0800XMental Health CounselorNY

General Provider Information

NPI Number : 1649109547
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA HACKMANN
Provider Business Mailing Address
First Line : 576 SENECA AVE APT 2L
Second Line :
City : RIDGEWOOD
State : NY
Zip : 11385-1772
Country : US
Telephone Number : 908-461-8665
Fax Number :
Provider Business Practice Location Address
First Line : 5913 GROVE ST
Second Line :
City : RIDGEWOOD
State : NY
Zip : 11385-2647
Country : US
Telephone Number : 908-461-8665
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2026
Last Update Date : 05/16/2026

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Directions to “ ALYSSA HACKMANN ” Practice Location

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