Provider Demographics
NPI:1205382991
Name:MOLINA, ARIANA (MA)
Entity Type:Individual
Prefix:
First Name:ARIANA
Middle Name:
Last Name:MOLINA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4901 HENRY HUDSON PKWY W APT 7H
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471-3219
Mailing Address - Country:US
Mailing Address - Phone:646-289-2606
Mailing Address - Fax:
Practice Address - Street 1:4901 HENRY HUDSON PKWY W APT 7H
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10471-3219
Practice Address - Country:US
Practice Address - Phone:646-289-2606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist