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Laura Azueta

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

NPI number1386148641
StatusActive
Last updated in NPPESMar 21, 2018

Details

NPI
1386148641
Entity type
Individual (NPI-1)
Name
Laura Azueta
Sex
Female
Sole proprietor
No
Enumeration date
Mar 21, 2018
Last updated
Mar 21, 2018

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist––Yes

Practice location

39 E Jericho Tpke
Mineola, NY 11501-3196

Phone 516-706-1740

Mailing address

92-23 244th Street
Floral Park, NY 11001-3912

Phone 516-725-3295

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Specialist providers in Mineola, NY

All 44 Specialist providers in Mineola · All 2,401 providers in Mineola

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