Healthcare Provider Details

I. General information

NPI: 1881612935
Provider Name (Legal Business Name): ARTHUR AUTZ MD DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1610 OLD COUNTRY RD STE 9
WESTBURY NY
11590-5256
US

IV. Provider business mailing address

775 PARK AVENUE SUITE 330
HUNTINGTON NY
11743
US

V. Phone/Fax

Practice location:
  • Phone: 516-228-4900
  • Fax: 516-228-2341
Mailing address:
  • Phone: 631-549-5167
  • Fax: 631-549-0335

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberN3498
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number1865181
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: