Individual
GLORIA VARELA ARREGOCES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
641 LEXINGTON AVE, 622, NEW YORK, NY 10022-4503
(201) 936-8867
Mailing address
641 LEXINGTON AVE, 622, NEW YORK, NY 10022-4503
(201) 936-8867
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
YKZ3HZN18134430
HORIZON BLUE CROSS SHIELD OF NEW JERSEY
NJ
Enumeration date
03/18/2017
Last updated
03/18/2017
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