Provider Demographics
NPI:1588929087
Name:ARAGONA, MARYANN
Entity type:Individual
Prefix:MS
First Name:MARYANN
Middle Name:
Last Name:ARAGONA
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 1:2A BLUEBIRD LANE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-6502
Mailing Address - Country:US
Mailing Address - Phone:631-367-8687
Mailing Address - Fax:631-692-9785
Practice Address - Street 1:2A BLUEBIRD LANE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-6502
Practice Address - Country:US
Practice Address - Phone:631-367-8687
Practice Address - Fax:631-692-9785
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-10
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist