Provider Demographics
NPI:1528774247
Name:KARONBACH, ZAHRAA HASSAN
Entity type:Individual
Prefix:
First Name:ZAHRAA
Middle Name:HASSAN
Last Name:KARONBACH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ZAHRAA
Other - Middle Name:
Other - Last Name:KARONBACH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ZK
Mailing Address - Street 1:8110 135TH ST APT 514
Mailing Address - Street 2:
Mailing Address - City:BRIARWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11435-1048
Mailing Address - Country:US
Mailing Address - Phone:646-830-8852
Mailing Address - Fax:
Practice Address - Street 1:8110 135TH ST APT 514
Practice Address - Street 2:
Practice Address - City:BRIARWOOD
Practice Address - State:NY
Practice Address - Zip Code:11435-1048
Practice Address - Country:US
Practice Address - Phone:646-830-8852
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-26
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist