| Doctor Name: | DR. HANNY S MABROUK |
| NPI Number: | 1083872154 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 25MA08339800 |
| Business Practice Address: | 671 Hoes Ln W Rm C-205 Piscataway, NJ - 088548021 |
| Business Phone Number: | 7322354040 |
| Business Fax Number: | |
| Mailing Address: | 5 Flintlock Ct, BASKING RIDGE |
| State: | NJ |
| Postal Code: | 079202107 |
| Phone Number: | 9086300014 |
| Fax Number: | |
| NPI Enumeration Date: | 05/27/2008 |
| NPI Last Update Date: | 05/27/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084P0805X |
| License Number: | 25MA08339800 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Geriatric Psychiatry |
| Taxonomy Definition: | Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |