MEDICARE: ALIZA HARARY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1639479074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALIZA HARARY

Provider Business Mailing Address
First Line	:	14752 71ST AVE
Second Line	:	APT 2
City	:	FLUSHING
State	:	NY
Zip	:	11367-2009
Country	:	US
Telephone Number	:	718-544-2334
Fax Number	:

Provider Business Practice Location Address
First Line	:	14752 71ST AVE
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11367-2009
Country	:	US
Telephone Number	:	718-544-2334
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2010
Last Update Date	:	11/02/2010

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Directions to “ ALIZA HARARY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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