MEDICARE: MR. ALEX ARGUELLO L.M.S.W.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	0832011	NY

General Provider Information

NPI Number	:	1497046171
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ALEX ARGUELLO L.M.S.W.

Provider Business Mailing Address
First Line	:	193 ALBANY AVE
Second Line	:	APT. 4F
City	:	BROOKLYN
State	:	NY
Zip	:	11213-2136
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11129 QUEENS BLVD
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-5553
Country	:	US
Telephone Number	:	718-275-8900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2011
Last Update Date	:	04/28/2011

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