Healthcare Provider Details

I. General information

NPI: 1295458412
Provider Name (Legal Business Name): ARIANNA MOTSINGER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2022
Last Update Date: 09/22/2022
Certification Date: 09/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3410 BROADWAY # 18
NEW YORK NY
10031-7400
US

IV. Provider business mailing address

752 W END AVE APT 6A
NEW YORK NY
10025-6292
US

V. Phone/Fax

Practice location:
  • Phone: 212-283-2099
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF350378
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: