Provider Demographics
NPI:1659764256
Name:SEN, JUMA
Entity Type:Individual
Prefix:
First Name:JUMA
Middle Name:
Last Name:SEN
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 1:8245 COMMONWEALTH BLVD
Mailing Address - Street 2:
Mailing Address - City:BELLEROSE
Mailing Address - State:NY
Mailing Address - Zip Code:11426-1737
Mailing Address - Country:US
Mailing Address - Phone:929-261-5425
Mailing Address - Fax:
Practice Address - Street 1:8345 VIETOR AVE APT 3G
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-3237
Practice Address - Country:US
Practice Address - Phone:347-527-9363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-06
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst