Healthcare Provider Details

I. General information

NPI: 1720278617
Provider Name (Legal Business Name): NADIA ARIF M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2007
Last Update Date: 04/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

82 MIDDLE COUNTRY RD ELSIE OWENS HEALTH CENTER - HRHCARE, INC.
CORAM NY
11727-4411
US

IV. Provider business mailing address

1037 MAIN ST HUDSON RIVER HEALTHCARE, INC.
PEEKSKILL NY
10566-2913
US

V. Phone/Fax

Practice location:
  • Phone: 631-320-2220
  • Fax: 631-698-3570
Mailing address:
  • Phone: 631-320-2220
  • Fax: 631-698-3570

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number245399
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: