Most Relevant Information
Provider Data
| NPI Number: | 1003519398 |
| Provider Name: | HAILEY BEAN |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/24/2023 |
| Last Updated: | 03/24/2023 |
Provider Practice Location
192 THROOP AVE
BROOKLYN
NY
112065334
Practice Location Phone/Fax
| Phone: | 9292109333 |
| Fax: |
Provider Mailing Location
220 AVENUE A APT 1D
NEW YORK
NY
100093412
Provider Mailing Phone/Fax
| Phone: | 6037934861 |
| Fax: |