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NPI Code Detail

MEDICARE: MANDASIA ARROYO LMSW

MEDICARE: MANDASIA ARROYO LMSW
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
1101YA0400XAddiction (Substance Use Disorder) Counselor
2104100000XSocial Worker100774NY

General Provider Information

NPI Number : 1659754067
Entity Type Code : Individual
Provider Name (Legal Business Name) : MANDASIA ARROYO LMSW
Provider Business Mailing Address
First Line : 8002 KEW GARDENS RD
Second Line :
City : NEW YORK
State : NY
Zip : 11413
Country : US
Telephone Number : 718-520-1513
Fax Number :
Provider Business Practice Location Address
First Line : 8002 KEW GARDENS RD STE 704
Second Line :
City : KEW GARDENS
State : NY
Zip : 11415-3607
Country : US
Telephone Number : 718-520-1513
Fax Number : 718-520-6460
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2015
Last Update Date : 11/12/2025

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