MEDICARE: MS. SALLY JANE ARBOLINO C.P.N.P.

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	363LP0200X	Pediatric Nurse Practitioner	F380187	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	:	1659406106
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SALLY JANE ARBOLINO C.P.N.P.

Provider Business Mailing Address
First Line	:	209 YORK ST
Second Line	:	PS 307 ROOM#140
City	:	BROOKLYN
State	:	NY
Zip	:	11201-1509
Country	:	US
Telephone Number	:	718-834-4294
Fax Number	:	718-834-4295

Provider Business Practice Location Address
First Line	:	209 YORK ST
Second Line	:	PS 307 ROOM#140
City	:	BROOKLYN
State	:	NY
Zip	:	11201-1509
Country	:	US
Telephone Number	:	718-834-4294
Fax Number	:	718-834-4295

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

Provider Enumeration Date	:	02/23/2007
Last Update Date	:	06/14/2011

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Directions to “ MS. SALLY JANE ARBOLINO C.P.N.P.” Practice Location

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