Provider Demographics
NPI:1164702908
Name:ARANGO, MEGHAN (MSED)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:
Last Name:ARANGO
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14-11 142 STREET
Mailing Address - Street 2:
Mailing Address - City:WHITESTONE
Mailing Address - State:NY
Mailing Address - Zip Code:11357-6004
Mailing Address - Country:US
Mailing Address - Phone:718-431-3117
Mailing Address - Fax:
Practice Address - Street 1:14-11 142 STREET
Practice Address - Street 2:
Practice Address - City:WHITESTONE
Practice Address - State:NY
Practice Address - Zip Code:11357-6004
Practice Address - Country:US
Practice Address - Phone:718-431-3117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-24
Last Update Date:2015-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY549637111174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist