Healthcare Provider Details

I. General information

NPI: 1932215241
Provider Name (Legal Business Name): ROBERT J. ARLEO, MD,PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 06/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 UPTOWN RD
ITHACA NY
14850-1632
US

IV. Provider business mailing address

100 UPTOWN RD
ITHACA NY
14850-1632
US

V. Phone/Fax

Practice location:
  • Phone: 607-257-5599
  • Fax: 607-257-3972
Mailing address:
  • Phone: 607-257-5599
  • Fax: 607-257-3972

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: ROBERT ARLEO
Title or Position: OWNER
Credential: M.D., P.C.
Phone: 607-257-5599