Healthcare Provider Details

I. General information

NPI: 1336682327
Provider Name (Legal Business Name): MISS ADRIANA JOSANDY ARIAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/23/2016
Last Update Date: 11/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

503 GRASSLANDS RD, SUITE 101
VALHALLA NY
10595
US

IV. Provider business mailing address

37 NAGLE AVE APT 2E
NEW YORK NY
10040-1483
US

V. Phone/Fax

Practice location:
  • Phone: 914-593-0593
  • Fax:
Mailing address:
  • Phone: 212-567-0206
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: