Provider Demographics
NPI:1356063762
Name:BAKKAR, NOHA
Entity type:Individual
Prefix:
First Name:NOHA
Middle Name:
Last Name:BAKKAR
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 1:3054 GODWIN TER APT 9
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-5332
Mailing Address - Country:US
Mailing Address - Phone:214-801-3147
Mailing Address - Fax:
Practice Address - Street 1:3054 GODWIN TER APT 9
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-5332
Practice Address - Country:US
Practice Address - Phone:214-801-3147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-13
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health