Provider Demographics
NPI:1942565874
Name:ARCE ABELLO, LINDA (M A)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:
Last Name:ARCE ABELLO
Suffix:
Gender:F
Credentials:M A
Other - Prefix:MS
Other - First Name:LINDA
Other - Middle Name:MARANOC
Other - Last Name:ARCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:270 L. MARIN BLVD.
Mailing Address - Street 2:APT. 12 S
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302
Mailing Address - Country:US
Mailing Address - Phone:201-433-2821
Mailing Address - Fax:
Practice Address - Street 1:535 8TH AVENUE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018
Practice Address - Country:US
Practice Address - Phone:212-787-9700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-06
Last Update Date:2012-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY719390961174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY719390961OtherSTATE CERTIFICATION