Arevalo, Cecilia Elizabeth

Arevalo, Cecilia Elizabeth is an individual health care provider with primary practice located at 4008 Forley St , Elmhurst NY 11373. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Arevalo, Cecilia Elizabeth can be contacted via phone (718) 446-0270.

Contact Information

Primary practice address
4008 Forley St Elmhurst NY 11373
Phone: (718) 446-0270
Fax: (718) 446-5939
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 016298 New York

Profile Details

NPI number 1730424284
LBN Legal business name Arevalo, Cecilia Elizabeth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2012
Last updated Aug 1st, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730424284 NPPES
New York MEDICAID 04353559
New York Other 560073976
New York Other G400339473

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