AGELESS MIND NY INC NPI 1649752767

NPI Information

NPI: 1649752767
Provider Name: AGELESS MIND NY INC

Doing Business As: AGELESS MIND NY

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
55 NORTHERN BLVD STE 406
GREAT NECK, NY
ZIP 11021
Phone: (516) 726-0301
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AGELESS MIND NY INC is a mental health counselor in Great Neck, NY. AGELESS MIND NY INC NPI is 1649752767. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ageless Mind Ny.

The provider's business location address is:

55 NORTHERN BLVD STE 406
GREAT NECK, NY
ZIP 11021-058
Phone: (516) 726-0301

The provider's authorized official is Izabelle Reyhanian Hakim .
The authorized official title is Owner and has the following contact phone number (516) 726-0301.

The enumeration date for this NPI number is 9/5/2018 and was last updated on 1/10/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	078204-1	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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