Healthcare Provider Details

I. General information

NPI: 1811214026
Provider Name (Legal Business Name): ARIELLE ORNSTEIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2010
Last Update Date: 12/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 S RIDGE ST
RYE BROOK NY
10573
US

IV. Provider business mailing address

90 S RIDGE ST
RYE BROOK NY
10573-2811
US

V. Phone/Fax

Practice location:
  • Phone: 914-251-1100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number270116
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: