Healthcare Provider Details

I. General information

NPI: 1447163258
Provider Name (Legal Business Name): ARLENE HAGOPIAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 GORGE RD APT 21D
CLIFFSIDE PARK NJ
07010-1319
US

IV. Provider business mailing address

250 GORGE RD APT 21D
CLIFFSIDE PARK NJ
07010-1319
US

V. Phone/Fax

Practice location:
  • Phone: 201-218-9417
  • Fax:
Mailing address:
  • Phone: 201-218-9417
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: