Provider Demographics
NPI:1154498475
Name:FIGUEROA, JUAN E
Entity Type:Individual
Prefix:MR
First Name:JUAN
Middle Name:E
Last Name:FIGUEROA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:841 LONGFELLOW AVE
Mailing Address - Street 2:APT. # 2D
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10474-4816
Mailing Address - Country:US
Mailing Address - Phone:718-583-4917
Mailing Address - Fax:
Practice Address - Street 1:1727 AMSTERDAM AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10031-4611
Practice Address - Country:US
Practice Address - Phone:212-694-9200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health