Anna Arsenous Physician PLLC
Organization Active NPI Specialist · Glendale, NY
NPI 1265670277 · NPPES record last updated Jan 31, 2014
Key facts
- NPI
- 1265670277
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- Legal business name
- ANNA ARSENOUS PHYSICIAN PLLC
- Practice address
- 7919 Myrtle Ave
Glendale, NY 11385-7441 - Phone
- (718) 821-1000
- Fax
- (718) 821-4685
- NPI assigned
- Jan 29, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Anna Arsenous, MD
- Title
- President
- Phone
- (718) 821-1000
Practitioners 1
-
Anna Arsenous, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090813000077 | NY | Part B Supplier - Clinic/Group Practice | 1153475108 |
Receives reassigned benefits from 1 practitioner Practice locations: Astoria, NY; Brooklyn, NY; Forest Hills, NY; Glendale, NY |
National Provider Directory
Locations
7919 Myrtle Ave
Glendale, NY 11385
Phone (718) 759-6207
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | Yes |
Addresses
Primary practice location
7919 Myrtle Ave
Glendale, NY 11385-7441
Mailing address
7919 Myrtle Ave
Glendale, NY 11385-7441
Phone (718) 821-1000
Other providers in Glendale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.