1053662494 NPI number — MS. CELESTE MARIE AGUILAR LCSW

Table of content: MS. CELESTE MARIE AGUILAR LCSW (NPI 1053662494)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053662494 NPI number — MS. CELESTE MARIE AGUILAR LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
AGUILAR
Provider First Name:
CELESTE
Provider Middle Name:
MARIE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
RIVERA-AGUILAR
Provider Other First Name:
CELESTE
Provider Other Middle Name:
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
LCSW
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1053662494
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/31/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5800 3RD AVE
Provider Second Line Business Mailing Address:
MANAGED CARE DEPARTMENT
Provider Business Mailing Address City Name:
BROOKLYN
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11220-3702
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-630-7824
Provider Business Mailing Address Fax Number:
718-630-7437

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
514 49TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11220-2010
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-437-5248
Provider Business Practice Location Address Fax Number:
718-437-5239
Provider Enumeration Date:
09/25/2012

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: 104100000X , with the licence number:  083533-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com