Karla Marie Arce-Vazquez
Individual provider Active NPI Specialist · Fresh Meadows, NY
NPI 1962033506 · NPPES record last updated Feb 21, 2020
Key facts
- NPI
- 1962033506
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 6111 171St St
Fresh Meadows, NY 11365-2023 - Phone
- (646) 752-7335
- NPI assigned
- Feb 2, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Yes |
Addresses
Primary practice location
6111 171St St
Fresh Meadows, NY 11365-2023
Mailing address
6111 171St St
Fresh Meadows, NY 11365-2023
Phone (646) 752-7335
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 411386883 | Other | NY | DRIVERS LICENSE |
Other providers in Fresh Meadows, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.