MEDICARE: ARTHUR L AUTZ MD PC

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1326133471
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARTHUR L AUTZ MD PC

Provider Business Mailing Address
First Line	:	1610 OLD COUNTRY RD
Second Line	:
City	:	WESTBURY
State	:	NY
Zip	:	11590
Country	:	US
Telephone Number	:	516-228-4900
Fax Number	:	516-228-2341

Provider Business Practice Location Address
First Line	:	1610 OLD COUNTRY RD
Second Line	:
City	:	WESTBURY
State	:	NY
Zip	:	11590
Country	:	US
Telephone Number	:	516-228-4900
Fax Number	:	516-228-2341

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ARTHUR AUTZ
Credential	:
Telephone Number	:	516-228-4900

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	03/29/2012

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