Healthcare Provider Details

I. General information

NPI: 1255441564
Provider Name (Legal Business Name): ARNOLD LICHT MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 06/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

161 ATLANTIC AVE SUITE 1
BROOKLYN NY
11201-6720
US

IV. Provider business mailing address

161 ATLANTIC AVE SUITE 1
BROOKLYN NY
11201-6720
US

V. Phone/Fax

Practice location:
  • Phone: 718-237-2150
  • Fax: 516-569-3677
Mailing address:
  • Phone: 718-237-2150
  • Fax: 516-569-3677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number
License Number State

VIII. Authorized Official

Name: DR. ARNOLD LICHT
Title or Position: PRESIDENT/OWNER
Credential: MD
Phone: 718-237-2150