Healthcare Provider Details

I. General information

NPI: 1326093220
Provider Name (Legal Business Name): DANIEL J. ARENOS MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 08/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2093 WESTERN AVENUE
GUILDERLAND NY
12084-9559
US

IV. Provider business mailing address

2093 WESTERN AVENUE
GUILDERLAND NY
12084-9559
US

V. Phone/Fax

Practice location:
  • Phone: 518-456-4200
  • Fax: 518-456-4220
Mailing address:
  • Phone: 518-456-4200
  • Fax: 518-456-4220

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number180403-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number180403
License Number StateNY

VIII. Authorized Official

Name: DR. DANIEL J. ARENOS
Title or Position: MD/OWNER
Credential: MD
Phone: 518-456-4200