Provider Demographics
NPI:1518208826
Name:NARVAEZ, BETZAIDA (MA)
Entity Type:Individual
Prefix:
First Name:BETZAIDA
Middle Name:
Last Name:NARVAEZ
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:531 EAST LINCOLN AVE
Mailing Address - Street 2:1L
Mailing Address - City:MOUNT
Mailing Address - State:NY
Mailing Address - Zip Code:10552-3753
Mailing Address - Country:US
Mailing Address - Phone:914-815-2597
Mailing Address - Fax:
Practice Address - Street 1:531 EAST LINCOLN AVE
Practice Address - Street 2:1L
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10552
Practice Address - Country:US
Practice Address - Phone:914-815-2597
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-12
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency