Hedayat-Harris, Andiea
Hedayat-Harris, Andiea is an sole proprietor health care provider with primary practice located at 2215 N Central Rd Apt. 4G, Fort Lee NJ 07024-7551. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hedayat-Harris, Andiea can be contacted via phone (201) 585-8720.Contact Information
Primary practice address
2215 N Central Rd Apt. 4G
Fort Lee NJ 07024-7551
Phone: (201) 585-8720
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 012882-1 | New York |
Profile Details
| NPI number | 1104042431 |
|---|---|
| LBN Legal business name | Hedayat-Harris, Andiea |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2007 |
| Last updated | Jul 18th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104042431 | NPPES |
| New York | MEDICAID | 02423747 |
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