Provider Demographics
NPI:1336284223
Name:ARGUETA, ELAINE MARY
Entity Type:Individual
Prefix:MS
First Name:ELAINE
Middle Name:MARY
Last Name:ARGUETA
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:ELAINE
Other - Middle Name:MARY
Other - Last Name:GRAF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:72 WESTCLIFF DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT SINAI
Mailing Address - State:NY
Mailing Address - Zip Code:11766-2220
Mailing Address - Country:US
Mailing Address - Phone:631-828-4470
Mailing Address - Fax:
Practice Address - Street 1:72 WESTCLIFF DR
Practice Address - Street 2:
Practice Address - City:MOUNT SINAI
Practice Address - State:NY
Practice Address - Zip Code:11766-2220
Practice Address - Country:US
Practice Address - Phone:631-828-4470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY061790-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker