Individual
ANNY PAOLA AGUDELO-PENAFIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3228 76TH ST FL 2, EAST ELMHURST, NY 11370-1834
(718) 779-8800
(718) 779-2070
Mailing address
3228 76TH ST FL 2, EAST ELMHURST, NY 11370-1834
(718) 779-8800
(718) 779-2070
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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