Provider Demographics
NPI:1235967423
Name:CARRION, SELENA AURORA
Entity type:Individual
Prefix:
First Name:SELENA
Middle Name:AURORA
Last Name:CARRION
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 1:2010 BRUCKNER BLVD APT 6A
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10473-1918
Mailing Address - Country:US
Mailing Address - Phone:718-644-2398
Mailing Address - Fax:
Practice Address - Street 1:25 CLIFFSIDE DR
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-3139
Practice Address - Country:US
Practice Address - Phone:718-644-2398
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-22
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula