Provider Demographics
NPI:1831576206
Name:HODA, SAMREEN
Entity type:Individual
Prefix:
First Name:SAMREEN
Middle Name:
Last Name:HODA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 LENOX RD APT 3U
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-2233
Mailing Address - Country:US
Mailing Address - Phone:516-606-9200
Mailing Address - Fax:
Practice Address - Street 1:34 W 118TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10026-1937
Practice Address - Country:US
Practice Address - Phone:516-606-9200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-05
Last Update Date:2019-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst