Healthcare Provider Details
I. General information
NPI: 1700122439
Provider Name (Legal Business Name): LAUREN ARROYO
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/28/2012
Last Update Date: 03/19/2024
Certification Date: 03/19/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
234 ROXBURY AVE
ROCKAWAY POINT NY
11697-1419
US
IV. Provider business mailing address
234 ROXBURY AVE
ROCKAWAY POINT NY
11697-1419
US
V. Phone/Fax
- Phone: 718-938-4435
- Fax:
- Phone: 718-938-4435
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: