Provider Demographics
NPI:1821462953
Name:CARRION, MIGDALIA
Entity Type:Individual
Prefix:
First Name:MIGDALIA
Middle Name:
Last Name:CARRION
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 1:145 HUGUENOT ST FL 4
Mailing Address - Street 2:SUITE 404
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-5200
Mailing Address - Country:US
Mailing Address - Phone:914-251-0905
Mailing Address - Fax:914-251-1266
Practice Address - Street 1:145 HUGUENOT ST FL 4
Practice Address - Street 2:SUITE 404
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-5200
Practice Address - Country:US
Practice Address - Phone:914-251-0905
Practice Address - Fax:914-251-1266
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-01
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator