=====================================================
General NPI Number Information
=====================================================
NPI Number | 1255520086
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ARLENE H. MARKOWITZ, M.D., F.A.C.S., P.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/17/2007
-----------------------------------------------------
Last Update Date | 05/22/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 110 E 82ND ST
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10028-0801
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-794-3999
-----------------------------------------------------
Fax | 212-794-3110
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 110 E 82ND ST
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10028-0801
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-794-3999
-----------------------------------------------------
Fax | 212-794-3110
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | ARLENE HELEN MARKOWITZ
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 212-794-3999
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Y00000X
-----------------------------------------------------
Taxonomy Name | Otolaryngology Physician
-----------------------------------------------------
License Number | 167054
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------