Provider Demographics
NPI:1043572878
Name:HEBERT, ANGELA PAOLA (MS ED/BILINGUAL ED)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:PAOLA
Last Name:HEBERT
Suffix:
Gender:F
Credentials:MS ED/BILINGUAL ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3225 90TH ST APT 411
Mailing Address - Street 2:
Mailing Address - City:EAST ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11369-2306
Mailing Address - Country:US
Mailing Address - Phone:917-714-6896
Mailing Address - Fax:
Practice Address - Street 1:3225 90TH ST APT 411
Practice Address - Street 2:UNITED STATES
Practice Address - City:EAST ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11369-2306
Practice Address - Country:US
Practice Address - Phone:718-458-7430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY25369174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY25369OtherNYSDOH