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Ingrid Archaga

Specialist in West Babylon, NY. Individual provider (NPI-1).

NPI number1194139899
StatusActive
Last updated in NPPESJun 20, 2014

Details

NPI
1194139899
Entity type
Individual (NPI-1)
Name
Ingrid Archaga
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 20, 2014
Last updated
Jun 20, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist––Yes

Practice location

40 Ewell St
West Babylon, NY 11704-6736

Phone 516-413-0215

Mailing address

40 Ewell St
West Babylon, NY 11704-6736

Phone 516-413-0215

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