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NPI Code Detail

MEDICARE: ARLENE E NOCK M.D.

MEDICARE: ARLENE E NOCK M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician171091NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1171091OTHERNYMEDICAL LICENSE

General Provider Information

NPI Number : 1154401610
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARLENE E NOCK M.D.
Provider Business Mailing Address
First Line : 401 NEW KARNER RD
Second Line :
City : ALBANY
State : NY
Zip : 12205-3854
Country : US
Telephone Number : 518-431-1650
Fax Number : 518-447-0429
Provider Business Practice Location Address
First Line : 401 NEW KARNER RD
Second Line :
City : ALBANY
State : NY
Zip : 12205-3854
Country : US
Telephone Number : 518-431-1650
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 11/15/2018

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