Healthcare Provider Details

I. General information

NPI: 1841104379
Provider Name (Legal Business Name): ANOWARA AMAN
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 S SERVICE RD
ROSLYN HEIGHTS NY
11577-2126
US

IV. Provider business mailing address

8041 COMMONWEALTH BLVD
BELLEROSE NY
11426-1857
US

V. Phone/Fax

Practice location:
  • Phone: 917-526-0766
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: