Provider Demographics
NPI:1235975954
Name:SHAREEF, ALAA
Entity type:Individual
Prefix:MRS
First Name:ALAA
Middle Name:
Last Name:SHAREEF
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 1:10 GREYBARN LN APT 218
Mailing Address - Street 2:
Mailing Address - City:AMITYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11701-2262
Mailing Address - Country:US
Mailing Address - Phone:224-280-5714
Mailing Address - Fax:
Practice Address - Street 1:68 S SERVICE RD STE 100
Practice Address - Street 2:
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-2350
Practice Address - Country:US
Practice Address - Phone:516-218-1279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-02
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health