Healthcare Provider Details

I. General information

NPI: 1588785133
Provider Name (Legal Business Name): ARCE MEDICAL & DIAGNOSTIC SERVICES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4322 50TH ST STE 1B
WOODSIDE NY
11377-4442
US

IV. Provider business mailing address

4322 50TH ST STE 1B
WOODSIDE NY
11377-4442
US

V. Phone/Fax

Practice location:
  • Phone: 718-424-4455
  • Fax:
Mailing address:
  • Phone: 718-424-4455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code202C00000X
TaxonomyIndependent Medical Examiner Physician
License Number155982
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number155982
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number155982
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number155982
License Number StateNY

VIII. Authorized Official

Name: DR. SAMUEL ARCE
Title or Position: PRESIDENT
Credential: M.D.
Phone: 718-424-4455