Provider Demographics
NPI:1548322860
Name:HAKAKIAN, DIANA RUTH (DC)
Entity type:Individual
Prefix:DR
First Name:DIANA
Middle Name:RUTH
Last Name:HAKAKIAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:DIANA
Other - Middle Name:ZIANS
Other - Last Name:HAKAKIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:317 CLEVELAND AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08904-1817
Mailing Address - Country:US
Mailing Address - Phone:732-545-4000
Mailing Address - Fax:732-545-4001
Practice Address - Street 1:317 CLEVELAND AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:HIGHLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:08904-1817
Practice Address - Country:US
Practice Address - Phone:732-545-4000
Practice Address - Fax:732-545-4001
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00526400111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation