Provider Demographics
NPI:1245592286
Name:ARGUELLO-NADLE, MARIA ESPERANZA (LCDA,MA,BC-DMT,LCAT)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:ESPERANZA
Last Name:ARGUELLO-NADLE
Suffix:
Gender:F
Credentials:LCDA,MA,BC-DMT,LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 E MILL DR
Mailing Address - Street 2:# 2 G
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-4009
Mailing Address - Country:US
Mailing Address - Phone:516-503-1161
Mailing Address - Fax:
Practice Address - Street 1:4 E MILL DR
Practice Address - Street 2:# 2 G
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-4009
Practice Address - Country:US
Practice Address - Phone:516-503-1161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-14
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1644768174400000X
NY000438-1225600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No225600000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDance Therapist