Healthcare Provider Details

I. General information

NPI: 1154811289
Provider Name (Legal Business Name): SAMUEL THOMAS ARCIERI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2018
Last Update Date: 09/16/2024
Certification Date: 09/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 HOSPITAL RD STE 201
EAST PATCHOGUE NY
11772-8814
US

IV. Provider business mailing address

500 UNIVERSITY DRIVE
HERSHEY PA
17033-2360
US

V. Phone/Fax

Practice location:
  • Phone: 631-475-6900
  • Fax:
Mailing address:
  • Phone: 800-243-1455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD474999
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD474999
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: