Healthcare Provider Details

I. General information

NPI: 1922043264
Provider Name (Legal Business Name): ARLEN FLEISHER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 04/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 WHITE PLAINS RD SUITE 241
SCARSDALE NY
10583-5063
US

IV. Provider business mailing address

7474 GREENWAY CENTER DR SUITE 1000
GREENBELT MD
20770-3504
US

V. Phone/Fax

Practice location:
  • Phone: 855-830-8346
  • Fax: 240-473-4321
Mailing address:
  • Phone: 855-830-8346
  • Fax: 240-473-4321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number150420
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code202K00000X
TaxonomyPhlebology Physician
License Number150420
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: