Provider Demographics
NPI:1073334918
Name:ASTORGA, MARIA
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:ASTORGA
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 1:322 8TH AVE STE 802
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-6783
Mailing Address - Country:US
Mailing Address - Phone:917-268-9213
Mailing Address - Fax:212-658-9768
Practice Address - Street 1:322 8TH AVE STE 802
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-6783
Practice Address - Country:US
Practice Address - Phone:917-268-9213
Practice Address - Fax:212-658-9768
Is Sole Proprietor?:No
Enumeration Date:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014812101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health