Basic Information
Provider Information
NPI: 1033556220
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARONOVA
FirstName: SVETLANA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7000 AUSTIN ST
Address2: SUITE 200
City: FOREST HILLS
State: NY
PostalCode: 113751022
CountryCode: US
TelephoneNumber: 7187627633
FaxNumber:  
Practice Location
Address1: 7331 179TH ST
Address2: SUITE 200
City: FRESH MEADOWS
State: NY
PostalCode: 113661603
CountryCode: US
TelephoneNumber: 9175832218
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/28/2013
LastUpdateDate: 08/30/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
174400000X1328928NYY Other Service ProvidersSpecialist 

No ID Information.


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