Healthcare Provider Details

I. General information

NPI: 1134051097
Provider Name (Legal Business Name): MS. ARIANA LOUISE VALLES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 SCHENECTADY AVE
BROOKLYN NY
11213-2330
US

IV. Provider business mailing address

5025 NEWTOWN RD APT 6A
WOODSIDE NY
11377-1705
US

V. Phone/Fax

Practice location:
  • Phone: 347-915-1112
  • Fax:
Mailing address:
  • Phone: 646-238-5662
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number130296
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: