Provider Demographics
NPI:1871202473
Name:THASTHAHIR, JUVERIA BEGUM
Entity type:Individual
Prefix:
First Name:JUVERIA
Middle Name:BEGUM
Last Name:THASTHAHIR
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 1:7 MURRAY RD
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-5116
Mailing Address - Country:US
Mailing Address - Phone:516-710-2223
Mailing Address - Fax:
Practice Address - Street 1:1023 PULASKI RD
Practice Address - Street 2:
Practice Address - City:EAST NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11731-1948
Practice Address - Country:US
Practice Address - Phone:631-261-7740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-22
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist