Hasan Shabazz

NPI #1841720026 in Roslyn, New York

Provider Information

NPI Number: 1841720026
Entity Type: Individual
Name: Hasan Shabazz
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Intellectual & Developmental Disabilities
Enumeration Date: Jun 19, 2017
Last Updated: Jun 19, 2017

Practice Location

Address: 1441 OLD NORTHERN BLVD
City: Roslyn
State: New York
ZIP Code: 11576
Phone: (917) 832-5180

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Intellectual & Developmental Disabilities — Intellectual & Developmental Disabilities	103TM1800X	Primary

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