Provider Demographics
NPI:1124358304
Name:HARIANAWALA, JUMANA (AUD)
Entity Type:Individual
Prefix:DR
First Name:JUMANA
Middle Name:
Last Name:HARIANAWALA
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5528 MAIN ST
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-5044
Mailing Address - Country:US
Mailing Address - Phone:718-461-4228
Mailing Address - Fax:
Practice Address - Street 1:5528 MAIN ST
Practice Address - Street 2:1ST FLOOR
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-5044
Practice Address - Country:US
Practice Address - Phone:718-461-4228
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-11
Last Update Date:2010-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002282231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist