Healthcare Provider Details

I. General information

NPI: 1609941087
Provider Name (Legal Business Name): ARTHUR FLATOW OTRL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 1ST AVE METROPOLITAN HOSPITAL
NEW YORK NY
10029-7404
US

IV. Provider business mailing address

244 BEACH 121 ST
ROCKAWAY PARK QUEENS NY
11694
US

V. Phone/Fax

Practice location:
  • Phone: 212-423-6753
  • Fax: 212-423-6326
Mailing address:
  • Phone: 718-945-1873
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number002663-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: