Provider Demographics
NPI:1710603980
Name:HIJUELOS, AMY
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:HIJUELOS
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 1:2931 MORELAND AVE
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11572-4725
Mailing Address - Country:US
Mailing Address - Phone:516-474-3513
Mailing Address - Fax:
Practice Address - Street 1:2931 MORELAND AVE
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-4725
Practice Address - Country:US
Practice Address - Phone:516-474-3513
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-18
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool