Provider Demographics
NPI:1063932390
Name:HAROON, UMAIR (DO)
Entity type:Individual
Prefix:
First Name:UMAIR
Middle Name:
Last Name:HAROON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8005 JAMAICA AVE
Mailing Address - Street 2:
Mailing Address - City:WOODHAVEN
Mailing Address - State:NY
Mailing Address - Zip Code:11421-1902
Mailing Address - Country:US
Mailing Address - Phone:718-526-2252
Mailing Address - Fax:718-674-6188
Practice Address - Street 1:8005 JAMAICA AVE
Practice Address - Street 2:
Practice Address - City:WOODHAVEN
Practice Address - State:NY
Practice Address - Zip Code:11421-1902
Practice Address - Country:US
Practice Address - Phone:718-526-2252
Practice Address - Fax:718-674-6188
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008945-1156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty