1023691672 NPI number — DORIELAYN AROCHO

Table of content: DORIELAYN AROCHO (NPI 1023691672)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023691672 NPI number — DORIELAYN AROCHO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
AROCHO
Provider First Name:
DORIELAYN
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023691672
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/22/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
109 W 27TH ST RM 5S
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10001-6208
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2373 CENTRAL PARK BLVD STE 10080238
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DENVER
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80238-2300
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
833-351-8255
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/02/2021

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  A210304 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: A210304 . This is a "CA" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: DR.0077584 . This is a "CO" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".
  • Identifier: 344439 . This is a "NY" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".