Provider Demographics
NPI:1952735920
Name:PAREDES, MYRIAM ALEXANDRA
Entity type:Individual
Prefix:
First Name:MYRIAM
Middle Name:ALEXANDRA
Last Name:PAREDES
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 1:333 E 115TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-2210
Mailing Address - Country:US
Mailing Address - Phone:212-987-4422
Mailing Address - Fax:212-987-1699
Practice Address - Street 1:333 E 115TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-2210
Practice Address - Country:US
Practice Address - Phone:212-987-4422
Practice Address - Fax:212-987-1699
Is Sole Proprietor?:No
Enumeration Date:2013-08-27
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator