Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 107169 | NY |
NPI | 1003465543 |
---|---|
Provider Name | Dayamarys Rosario Aguilera |
First Address | Bronx, NY 10453-8250 |
Second Address | Bronx, NY 10455-4128 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2019 |
Last Update Date | 07/09/2019 |