Provider Demographics
NPI:1285999789
Name:ORILAN, NAVA J
Entity type:Individual
Prefix:
First Name:NAVA
Middle Name:J
Last Name:ORILAN
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 1:475 W 186TH ST APT 6E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-2904
Mailing Address - Country:US
Mailing Address - Phone:212-795-0274
Mailing Address - Fax:
Practice Address - Street 1:475 W 186TH ST APT 6E
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10033-2904
Practice Address - Country:US
Practice Address - Phone:212-795-0274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-10
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist