Healthcare Provider Details

I. General information

NPI: 1437808995
Provider Name (Legal Business Name): JULIANA ROSE OHANIAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2022
Last Update Date: 03/22/2022
Certification Date: 03/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 1ST AVE # 4B
NEW YORK NY
10016-6402
US

IV. Provider business mailing address

333 RIVER ST APT 539
HOBOKEN NJ
07030-5861
US

V. Phone/Fax

Practice location:
  • Phone: 866-838-5864
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number432112
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: