Provider Demographics
NPI:1255739199
Name:PATHARI, ARWA
Entity type:Individual
Prefix:MISS
First Name:ARWA
Middle Name:
Last Name:PATHARI
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 1:2416 32ND ST
Mailing Address - Street 2:APT 3
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11102-1139
Mailing Address - Country:US
Mailing Address - Phone:917-387-6686
Mailing Address - Fax:
Practice Address - Street 1:10 WATERSIDE PLZ
Practice Address - Street 2:LEVEL C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-2602
Practice Address - Country:US
Practice Address - Phone:212-689-0236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-09
Last Update Date:2014-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst