Provider Demographics
NPI:1780009746
Name:DIPRE, ARGENTINA ESPERANZA (MS, ED)
Entity Type:Individual
Prefix:
First Name:ARGENTINA
Middle Name:ESPERANZA
Last Name:DIPRE
Suffix:
Gender:F
Credentials:MS, ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1219 NELSON AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10452-3643
Mailing Address - Country:US
Mailing Address - Phone:718-681-4469
Mailing Address - Fax:
Practice Address - Street 1:1219 NELSON AVE APT 2
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10452-3643
Practice Address - Country:US
Practice Address - Phone:718-681-4469
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-28
Last Update Date:2014-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY879168171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator