Chona Balauag Arenas, NP

Individual provider Active NPI Nurse Practitioner · Fresh Meadows, NY

NPI 1295867471 · NPPES record last updated Feb 13, 2014

Key facts

NPI
1295867471
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
F333942 (NY)
Practice address
15905 Union Tpke
Fresh Meadows, NY 11366-1950
Phone
(718) 906-6700
Fax
(718) 906-6814
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F333942NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Arts Sanitarium, Inc. Past Accepting new patients
Cornerstone of Medical Arts Center Hospital Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F333942 NY Yes

Addresses

Primary practice location

15905 Union Tpke
Fresh Meadows, NY 11366-1950

Mailing address

1159 Tusk LN
Wantagh, NY 11793-2732
Phone (516) 705-1353

Other providers in Fresh Meadows, NY

All providers in Fresh Meadows, NY · Nurse Practitioner in New York

Sources for this page

Verify at the official NPI Registry.