MEDICARE: ELISA CECILIA BARGUIL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	014740	NY

General Provider Information

NPI Number	:	1740117787
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELISA CECILIA BARGUIL

Provider Business Mailing Address
First Line	:	9740 62ND DR APT 14E
Second Line	:
City	:	REGO PARK
State	:	NY
Zip	:	11374-1327
Country	:	US
Telephone Number	:	347-324-6994
Fax Number	:	347-324-6994

Provider Business Practice Location Address
First Line	:	9740 62ND DR APT 14E
Second Line	:
City	:	REGO PARK
State	:	NY
Zip	:	11374-1327
Country	:	US
Telephone Number	:	347-324-6994
Fax Number	:	347-324-6994

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2026
Last Update Date	:	05/05/2026

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