Provider Demographics
NPI:1841515343
Name:HAROONI, ABRAHAM (PH)
Entity type:Individual
Prefix:MR
First Name:ABRAHAM
Middle Name:
Last Name:HAROONI
Suffix:
Gender:M
Credentials:PH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 W 39TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-3803
Mailing Address - Country:US
Mailing Address - Phone:212-398-9999
Mailing Address - Fax:212-719-5371
Practice Address - Street 1:55 W 39TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-3802
Practice Address - Country:US
Practice Address - Phone:212-398-9999
Practice Address - Fax:212-719-5371
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-29
Last Update Date:2011-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY036725183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist