Provider Demographics
NPI:1548406283
Name:UNWALLA, DILNAZ (SLP)
Entity Type:Individual
Prefix:MS
First Name:DILNAZ
Middle Name:
Last Name:UNWALLA
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 WINDSOR RD
Mailing Address - Street 2:
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-3408
Mailing Address - Country:US
Mailing Address - Phone:845-897-8056
Mailing Address - Fax:
Practice Address - Street 1:180 WINDSOR RD
Practice Address - Street 2:
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-3408
Practice Address - Country:US
Practice Address - Phone:845-897-8056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-31
Last Update Date:2008-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008436-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist