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NPI Code Detail

MEDICARE: SUSAN ARVANITES

MEDICARE: SUSAN ARVANITES
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
1172V00000XCommunity Health Worker004857-1NY

General Provider Information

NPI Number : 1518111533
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN ARVANITES
Provider Business Mailing Address
First Line : 664 ORANGEBURG RD
Second Line :
City : PEARL RIVER
State : NY
Zip : 10965-2830
Country : US
Telephone Number : 845-735-3066
Fax Number : 845-735-8243
Provider Business Practice Location Address
First Line : 664 ORANGEBURG RD
Second Line :
City : PEARL RIVER
State : NY
Zip : 10965-2830
Country : US
Telephone Number : 845-735-3066
Fax Number : 845-735-8243
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2008
Last Update Date : 11/05/2008

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Directions to “ SUSAN ARVANITES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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