HASAN SHABAZZ

ROSLYN, NY
NPI1841720026
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TM1800X Psychologist, Intellectual & Developmental Disabilities
Enumeration Date2017-06-19
Last Update Date2017-06-19
Business Address
HASAN SHABAZZ
1441 OLD NORTHERN BLVD
ROSLYN, NY 11576
Phone number: 917-832-5180
Mailing Address
HASAN SHABAZZ
74 JACKSON RD
VALLEY STREAM, NY 11581-2126
Phone number: 917-832-5180
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