Healthcare Provider Details

I. General information

NPI: 1659761799
Provider Name (Legal Business Name): ARIELLA CHANA PRATZER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/28/2015
Last Update Date: 05/31/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 FIRST AVENUE NYU LANGONE MEDICAL CENTER
NEW YORK NY
10016
US

IV. Provider business mailing address

550 FIRST AVENUE NYU LANGONE MEDICAL CENTER
NEW YORK NY
10016
US

V. Phone/Fax

Practice location:
  • Phone: 212-263-5506
  • Fax:
Mailing address:
  • Phone: 212-263-5506
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: