Provider Demographics
NPI:1053926865
Name:FIGUEROA, ARIEL ANTONIO (LMT)
Entity type:Individual
Prefix:MR
First Name:ARIEL
Middle Name:ANTONIO
Last Name:FIGUEROA
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:527 W 150TH ST APT 1
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10031-2612
Mailing Address - Country:US
Mailing Address - Phone:917-767-1893
Mailing Address - Fax:
Practice Address - Street 1:527 W 150TH ST APT 1
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10031-2612
Practice Address - Country:US
Practice Address - Phone:917-767-1893
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-09
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0314861225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist