Healthcare Provider Details

I. General information

NPI: 1063722080
Provider Name (Legal Business Name): ARLENE MARGUERITE HURLEY-ROSENBLATT ANP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2010
Last Update Date: 10/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1230 YORK AVE
NEW YORK NY
10065-6307
US

IV. Provider business mailing address

455 1ST AVE 7TH FLOOR
NEW YORK NY
10016-9102
US

V. Phone/Fax

Practice location:
  • Phone: 212-327-7433
  • Fax: 212-327-7234
Mailing address:
  • Phone: 212-448-5000
  • Fax: 212-725-1126

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberF305492-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: