Provider Demographics
NPI:1346697810
Name:MAMANIA, WADIA
Entity Type:Individual
Prefix:
First Name:WADIA
Middle Name:
Last Name:MAMANIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:474 CARLTON AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-2104
Mailing Address - Country:US
Mailing Address - Phone:202-468-2501
Mailing Address - Fax:
Practice Address - Street 1:474 CARLTON AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-2104
Practice Address - Country:US
Practice Address - Phone:202-468-2501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-15
Last Update Date:2016-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker