Provider Demographics
NPI:1457189086
Name:ILLESCAS PARAPI, ASHLEY SIOMARIS
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:SIOMARIS
Last Name:ILLESCAS PARAPI
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 1:519 W 143RD ST APT 32
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10031-6049
Mailing Address - Country:US
Mailing Address - Phone:347-990-6507
Mailing Address - Fax:
Practice Address - Street 1:519 W 143RD ST APT 32
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10031-6049
Practice Address - Country:US
Practice Address - Phone:347-990-6507
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-24
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool