Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

New York State Neuropsychological State of Mind PC

Organization Clinical Neuropsychologist · NPI 1013414705

New York State Neuropsychological State of Mind PC is a Clinical Neuropsychologist in Kew Gardens, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
In the registry since
2018
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8460 123rd St
Kew Gardens, NY 11415-3305
Phone: (718) 441-0166
Fax: (718) 805-2054
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 016117 (NY)

Record details

NPI number1013414705
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sanam Hafeez — Psy.D · (718) 441-0166
NPI enumeratedApril 9, 2018
Last updated in NPPESApril 9, 2018
Mailing address8460 123rd St, Kew Gardens, NY 11415-3305

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