Provider Demographics
NPI:1912140104
Name:PRAWDA, ARIANA
Entity Type:Individual
Prefix:MS
First Name:ARIANA
Middle Name:
Last Name:PRAWDA
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 1:126 MONTGOMERY ST
Mailing Address - Street 2:APT 3D
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08904-2324
Mailing Address - Country:US
Mailing Address - Phone:773-972-0190
Mailing Address - Fax:
Practice Address - Street 1:462 1ST AVE
Practice Address - Street 2:21 SOUTH 7
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-9196
Practice Address - Country:US
Practice Address - Phone:212-562-3296
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-17
Last Update Date:2009-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program