Provider Demographics
NPI:1407202245
Name:ARIZA-UMANA, JENNY NATHALIE
Entity Type:Individual
Prefix:MISS
First Name:JENNY
Middle Name:NATHALIE
Last Name:ARIZA-UMANA
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 1:1847 MOTT AVE
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-4201
Mailing Address - Country:US
Mailing Address - Phone:718-337-6850
Mailing Address - Fax:347-246-9670
Practice Address - Street 1:1847 MOTT AVE
Practice Address - Street 2:1ST FLOOR
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-4201
Practice Address - Country:US
Practice Address - Phone:718-337-6850
Practice Address - Fax:347-246-9670
Is Sole Proprietor?:No
Enumeration Date:2016-05-11
Last Update Date:2016-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor