Healthcare Provider Details

I. General information

NPI: 1346219953
Provider Name (Legal Business Name): ELIZABETH ANN ARTHUR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 HELENDALE RD SUITE 100
ROCHESTER NY
14609-3173
US

IV. Provider business mailing address

500 HELENDALE RD SUITE 100
ROCHESTER NY
14609-3173
US

V. Phone/Fax

Practice location:
  • Phone: 585-266-5420
  • Fax: 585-266-5423
Mailing address:
  • Phone: 585-266-5420
  • Fax: 585-266-5423

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number199172
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: