| Hanaa's Legacy, Llc | |
|
187 Chestnut St Nutley NJ 07110-4320 | |
| (973) 320-9320 | |
| (973) 587-8766 |
| Full Name | Hanaa's Legacy, Llc |
|---|---|
| Speciality | Dentist |
| Location | 187 Chestnut St, Nutley, New Jersey |
| Authorized Official Name and Position | Mariam Habib (OWNER) |
| Authorized Official Contact | 4079379344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hanaa's Legacy, Llc 187 Chestnut St Nutley NJ 07110-4320 Ph: (973) 320-9320 | Hanaa's Legacy, Llc 187 Chestnut St Nutley NJ 07110-4320 Ph: (973) 320-9320 |
| NPI Number | 1669068466 |
|---|---|
| Provider Enumeration Date | 12/15/2020 |
| Last Update Date | 12/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669068466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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