Provider Demographics
NPI:1679264360
Name:MACARAEG, DELIA DIGNADICE (RN)
Entity Type:Individual
Prefix:MS
First Name:DELIA
Middle Name:DIGNADICE
Last Name:MACARAEG
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11940 UNION TPKE APT 5R
Mailing Address - Street 2:
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415-1137
Mailing Address - Country:US
Mailing Address - Phone:917-667-8927
Mailing Address - Fax:
Practice Address - Street 1:337 E 17TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-3804
Practice Address - Country:US
Practice Address - Phone:212-475-4245
Practice Address - Fax:212-673-1240
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY420737163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse