MEDICARE: ARTHUR SIONOV

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
1	156FX1800X	Optician	007688-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447351754
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARTHUR SIONOV

Provider Business Mailing Address
First Line	:	2724 QUEENS PLZ S
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11101-4102
Country	:	US
Telephone Number	:	718-482-7462
Fax Number	:	718-482-7462

Provider Business Practice Location Address
First Line	:	2724 QUEENS PLZ S
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11101-4102
Country	:	US
Telephone Number	:	718-482-7462
Fax Number	:	718-482-7462

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	05/14/2008

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Directions to “ ARTHUR SIONOV ” Practice Location

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