MEDICARE: ANA LYDIA ARZU

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	174400000X	Specialist	NY
2	246Y00000X	Health Information Specialist/Technologist	NY
3	171M00000X	Case Manager/Care Coordinator	NY

General Provider Information

NPI Number	:	1306498696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANA LYDIA ARZU

Provider Business Mailing Address
First Line	:	9114 MERRICK BLVD FL 6
Second Line	:
City	:	JAMAICA
State	:	NY
Zip	:	11432-5363
Country	:	US
Telephone Number	:	718-262-8190
Fax Number	:

Provider Business Practice Location Address
First Line	:	9114 MERRICK BLVD FL 6
Second Line	:
City	:	JAMAICA
State	:	NY
Zip	:	11432-5363
Country	:	US
Telephone Number	:	718-262-8190
Fax Number	:

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

Provider Enumeration Date	:	07/16/2019
Last Update Date	:	07/16/2019

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Directions to “ ANA LYDIA ARZU ” Practice Location

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