Provider Demographics
NPI:1912282823
Name:NAVAS, ALMA TERESA (COTA)
Entity Type:Individual
Prefix:
First Name:ALMA
Middle Name:TERESA
Last Name:NAVAS
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:635 E 12TH ST
Mailing Address - Street 2:APARTMENT #3G
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-3603
Mailing Address - Country:US
Mailing Address - Phone:212-866-0666
Mailing Address - Fax:212-866-2036
Practice Address - Street 1:635 E 12TH ST
Practice Address - Street 2:APARTMENT #3G
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-3603
Practice Address - Country:US
Practice Address - Phone:212-866-0666
Practice Address - Fax:212-866-2036
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-12
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002088-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist