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NPI Code Detail

MEDICARE: ARKADY MENIKHES OTAS

MEDICARE: ARKADY MENIKHES OTAS
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
1174400000XSpecialist011810NY

General Provider Information

NPI Number : 1922834837
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARKADY MENIKHES OTAS
Provider Business Mailing Address
First Line : 1312 38TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11218-3612
Country : US
Telephone Number : 718-686-3700
Fax Number :
Provider Business Practice Location Address
First Line : 1312 38TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11218-3612
Country : US
Telephone Number : 718-686-3700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2024
Last Update Date : 03/10/2026

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Directions to “ ARKADY MENIKHES OTAS” Practice Location

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