Provider Demographics
NPI:1548642093
Name:AHARY, HANA (LMSW)
Entity type:Individual
Prefix:
First Name:HANA
Middle Name:
Last Name:AHARY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:HANA
Other - Middle Name:
Other - Last Name:AHARY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:801 PROSPECT PL
Mailing Address - Street 2:4A
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11216-4086
Mailing Address - Country:US
Mailing Address - Phone:917-862-5838
Mailing Address - Fax:
Practice Address - Street 1:936 BROADWAY
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-6013
Practice Address - Country:US
Practice Address - Phone:212-879-4900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-22
Last Update Date:2015-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY089283-1106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist