Provider Demographics
NPI:1225890023
Name:WARLEY, RAQUEL MARIA
Entity Type:Individual
Prefix:
First Name:RAQUEL
Middle Name:MARIA
Last Name:WARLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1894 SEWARD AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10473-2851
Mailing Address - Country:US
Mailing Address - Phone:132-367-4989
Mailing Address - Fax:
Practice Address - Street 1:1894 SEWARD AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10473-2851
Practice Address - Country:US
Practice Address - Phone:132-367-4989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-26
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY072399-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical