Provider Demographics
NPI:1982966990
Name:NARVAEZ, LUZ ANA (SPECIAL EDUCATOR)
Entity Type:Individual
Prefix:
First Name:LUZ
Middle Name:ANA
Last Name:NARVAEZ
Suffix:
Gender:F
Credentials:SPECIAL EDUCATOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:382 CENTRAL PARK W APT 10S
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-6033
Mailing Address - Country:US
Mailing Address - Phone:917-612-9085
Mailing Address - Fax:
Practice Address - Street 1:382 CENTRAL PARK W APT 10S
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-6033
Practice Address - Country:US
Practice Address - Phone:917-612-9085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-14
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYSPECIAL EDUCATION252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency