Provider Demographics
NPI:1053910885
Name:PASHA, UMAMA S
Entity type:Individual
Prefix:MRS
First Name:UMAMA
Middle Name:S
Last Name:PASHA
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 1:11940 METROPOLITAN AVE APT C3
Mailing Address - Street 2:
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415-2608
Mailing Address - Country:US
Mailing Address - Phone:631-896-0633
Mailing Address - Fax:
Practice Address - Street 1:11940 METROPOLITAN AVE APT C3
Practice Address - Street 2:
Practice Address - City:KEW GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11415-2608
Practice Address - Country:US
Practice Address - Phone:631-896-0633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-22
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist