Healthcare Provider Details

I. General information

NPI: 1598991077
Provider Name (Legal Business Name): ARTHY YOGA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2009
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1161 VICTORY BLVD
STATEN ISLAND NY
10301-3621
US

IV. Provider business mailing address

1161 VICTORY BLVD
STATEN ISLAND NY
10301-3621
US

V. Phone/Fax

Practice location:
  • Phone: 718-818-1160
  • Fax: 855-593-6506
Mailing address:
  • Phone: 718-818-1160
  • Fax: 855-593-6506

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number073893
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: