Provider Demographics
NPI:1053181875
Name:KATHURIA, SHALINI
Entity type:Individual
Prefix:
First Name:SHALINI
Middle Name:
Last Name:KATHURIA
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 1:80 RULAND RD
Mailing Address - Street 2:
Mailing Address - City:SELDEN
Mailing Address - State:NY
Mailing Address - Zip Code:11784-1741
Mailing Address - Country:US
Mailing Address - Phone:631-601-9009
Mailing Address - Fax:
Practice Address - Street 1:80 RULAND RD
Practice Address - Street 2:
Practice Address - City:SELDEN
Practice Address - State:NY
Practice Address - Zip Code:11784-1741
Practice Address - Country:US
Practice Address - Phone:631-601-9009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-03
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst