Provider Demographics
NPI:1568606457
Name:VIALVA, HARMILA (MA)
Entity Type:Individual
Prefix:
First Name:HARMILA
Middle Name:
Last Name:VIALVA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:SHARMILA
Other - Middle Name:
Other - Last Name:VIALVA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA
Mailing Address - Street 1:188 BEACH 115 ST
Mailing Address - Street 2:APT 1
Mailing Address - City:ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11694-0191
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:188 BEACH 115TH ST
Practice Address - Street 2:APT 1
Practice Address - City:ROCKAWAY PARK
Practice Address - State:NY
Practice Address - Zip Code:11694-2408
Practice Address - Country:US
Practice Address - Phone:646-250-7969
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-23
Last Update Date:2009-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor