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NPI Code Detail

MEDICARE: MR. RICARDO ARANGUREN P.A.

MEDICARE: MR. RICARDO ARANGUREN P.A.
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
1363A00000XPhysician Assistant003306NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10F3711OTHERNYEMPIRE BC.BS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154357879
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RICARDO ARANGUREN P.A.
Provider Business Mailing Address
First Line : HSC T12 RM 080
Second Line :
City : STONY BROOK
State : NY
Zip : 11794-8122
Country : US
Telephone Number : 631-444-1116
Fax Number : 631-444-1535
Provider Business Practice Location Address
First Line : NEW YORK SPINE AND BRAIN SURGERY
Second Line : HSC T12 RM 080
City : STONY BROOK
State : NY
Zip : 11794-8122
Country : US
Telephone Number : 631-444-1116
Fax Number : 631-444-1535
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2006
Last Update Date : 06/10/2014

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