Provider Demographics
NPI:1316614415
Name:OROZCO-HERNANDEZ, MARY ANGELICA (SOCIAL WORKER)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:ANGELICA
Last Name:OROZCO-HERNANDEZ
Suffix:
Gender:F
Credentials:SOCIAL WORKER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 E 10TH ST APT 5C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-4751
Mailing Address - Country:US
Mailing Address - Phone:917-239-4191
Mailing Address - Fax:
Practice Address - Street 1:355 E 10TH ST APT 5C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-4751
Practice Address - Country:US
Practice Address - Phone:917-239-4191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-26
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker