Healthcare Provider Details

I. General information

NPI: 1083781652
Provider Name (Legal Business Name): ARACELIS ARROYO RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1727 AMSTERDAM AVE ROOM 219
NEW YORK NY
10031-4611
US

IV. Provider business mailing address

19 MAUJER ST APT 501
BROOKLYN NY
11206-1069
US

V. Phone/Fax

Practice location:
  • Phone: 212-694-9200
  • Fax:
Mailing address:
  • Phone: 718-384-4658
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number501113-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: