Provider Demographics
NPI:1447949094
Name:ARGAO, GIANELLA ALECKZ DE GUZMAN
Entity type:Individual
Prefix:
First Name:GIANELLA ALECKZ
Middle Name:DE GUZMAN
Last Name:ARGAO
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 1:280 ROUTE 299 STE 1
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:NY
Mailing Address - Zip Code:12528-2552
Mailing Address - Country:US
Mailing Address - Phone:845-691-9169
Mailing Address - Fax:
Practice Address - Street 1:280 ROUTE 299 STE 1
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:NY
Practice Address - Zip Code:12528-2552
Practice Address - Country:US
Practice Address - Phone:845-691-9169
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY041111225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist