Provider Demographics
NPI:1538525407
Name:ARGUETA, ANGELA D (MASTER IN EARLY EDUC)
Entity type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:D
Last Name:ARGUETA
Suffix:
Gender:F
Credentials:MASTER IN EARLY EDUC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COLONIA EL QUETZAL CASA 55
Mailing Address - Street 2:
Mailing Address - City:QUEZALTEPEQUE
Mailing Address - State:LA LIBERTAD
Mailing Address - Zip Code:503
Mailing Address - Country:SV
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:329 E 149TH ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-5601
Practice Address - Country:US
Practice Address - Phone:718-769-2698
Practice Address - Fax:718-401-0108
Is Sole Proprietor?:No
Enumeration Date:2016-01-07
Last Update Date:2016-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY659222174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist