MEDICARE: DR. ARIEL OSTAD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ND0101X	MOHS-Micrographic Surgery Physician	201981	NY
2	207NS0135X	Procedural Dermatology Physician	201981	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0M0002	OTHER		HEALTHNET
2	P448962	OTHER	NY	OXFORD
3	201981	OTHER	NY	HIP
4	AETNA	OTHER		5836428

General Provider Information

NPI Number	:	1104817675
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARIEL OSTAD MD

Provider Business Mailing Address
First Line	:	897 LEXINGTON AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10021-6103
Country	:	US
Telephone Number	:	212-517-7900
Fax Number	:	212-517-9252

Provider Business Practice Location Address
First Line	:	897 LEXINGTON AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10021-6103
Country	:	US
Telephone Number	:	212-517-7900
Fax Number	:	212-517-9252

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2005
Last Update Date	:	03/07/2016

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Directions to “ DR. ARIEL OSTAD MD” Practice Location

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