Healthcare Provider Details

I. General information

NPI: 1740365162
Provider Name (Legal Business Name): ARNOLD LOUIE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 NEW SCOTLAND AVE
ALBANY NY
12208-3425
US

IV. Provider business mailing address

150 NEW SCOTLAND AVE
ALBANY NY
12208-3425
US

V. Phone/Fax

Practice location:
  • Phone: 518-641-6463
  • Fax: 518-641-6304
Mailing address:
  • Phone: 518-641-6463
  • Fax: 518-641-6304

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number179307
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: