Provider Demographics
NPI:1700561909
Name:HARUTIUNIAN, HOORY
Entity Type:Individual
Prefix:
First Name:HOORY
Middle Name:
Last Name:HARUTIUNIAN
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 1:104 BEVERLY PL
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-1702
Mailing Address - Country:US
Mailing Address - Phone:347-409-0586
Mailing Address - Fax:
Practice Address - Street 1:104 BEVERLY PL
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:NY
Practice Address - Zip Code:11756-1702
Practice Address - Country:US
Practice Address - Phone:347-409-0586
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-16
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator