Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor | NY |
NPI | 1316206493 |
---|---|
Provider Name | Omar Adolfo Argueta |
First Address | Elmhurst, NY 11373-5860 |
Second Address | Elmhurst, NY 11373-5860 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2012 |
Last Update Date | 10/05/2012 |