Healthcare Provider Details

I. General information

NPI: 1558355107
Provider Name (Legal Business Name): ARTHUR ERWIN APPEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2005
Last Update Date: 07/11/2021
Certification Date: 07/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 FRANKLIN AVE
PEARL RIVER NY
10965-2510
US

IV. Provider business mailing address

119 FRANKLIN AVE
PEARL RIVER NY
10965-2510
US

V. Phone/Fax

Practice location:
  • Phone: 845-735-4100
  • Fax: 845-735-4473
Mailing address:
  • Phone: 845-735-4100
  • Fax: 845-735-4473

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number112923
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number112923
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: