Provider Demographics
NPI:1689744716
Name:HOVAGUIMIAN, ARPINE APKAR (LCSW-R)
Entity Type:Individual
Prefix:MS
First Name:ARPINE
Middle Name:APKAR
Last Name:HOVAGUIMIAN
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 E STATE ST STE 201
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-4400
Mailing Address - Country:US
Mailing Address - Phone:607-319-4774
Mailing Address - Fax:607-272-1927
Practice Address - Street 1:401 E STATE ST STE 201
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-4400
Practice Address - Country:US
Practice Address - Phone:607-319-4774
Practice Address - Fax:607-272-1927
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2008-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR053885-1261QR0405X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYBB1720Medicare ID - Type Unspecified