Provider Demographics
NPI:1265826689
Name:ATTARIAN, ARSHALOUS TALAR (LAC)
Entity Type:Individual
Prefix:MISS
First Name:ARSHALOUS
Middle Name:TALAR
Last Name:ATTARIAN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4120 69TH ST
Mailing Address - Street 2:3
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-3838
Mailing Address - Country:US
Mailing Address - Phone:646-319-9437
Mailing Address - Fax:
Practice Address - Street 1:4120 69TH ST
Practice Address - Street 2:3
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-3838
Practice Address - Country:US
Practice Address - Phone:718-478-9391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-24
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005515171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist