Healthcare Provider Details

I. General information

NPI: 1699117010
Provider Name (Legal Business Name): ARIELLA LOREN ZUNIGA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2013
Last Update Date: 01/03/2022
Certification Date: 01/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 ARTHUR ST
GARDEN CITY NY
11530-3043
US

IV. Provider business mailing address

125 ARTHUR ST
GARDEN CITY NY
11530-3043
US

V. Phone/Fax

Practice location:
  • Phone: 516-782-5663
  • Fax:
Mailing address:
  • Phone: 516-782-5663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: