MEDICARE: DR. ARVIND K AGARWAL 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	207RI0011X	Interventional Cardiology Physician	25MA05466900	NJ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	110034987	OTHER	NY	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000011011	OTHER	NY	GHI HMO
2	0176839	OTHER	NY	GHI PPO
4	4123842	OTHER	NY	AETNA PPO
5	0056891	OTHER	NY	AETNA HMO
6	111011	OTHER	NY	WELLCARE
7	62F991	OTHER	NY	EMPIRE BC STONY POINT
8	700955	OTHER	NY	US FAMILY HEALTH PLAN
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	133693126	OTHER	NY	TAX ID #
11	717024	OTHER	NY	MVP/TACONIC IPA
12	N31516	OTHER	NY	HEALTHNET
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	181950	OTHER	NY	HIP
15	62F992	OTHER	NY	EMPIRE BC WEST NYACK
16	RS093	OTHER	NY	OXFORD
17	001702	OTHER	NY	CONNECTICARE

General Provider Information

NPI Number	:	1992776264
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARVIND K AGARWAL MD

Provider Business Mailing Address
First Line	:	20 GRAND STREET, 3RD FL
Second Line	:
City	:	WARWICK
State	:	NY
Zip	:	10901-1035
Country	:	US
Telephone Number	:	845-942-1001
Fax Number	:	845-987-5979

Provider Business Practice Location Address
First Line	:	12 LIBERTY SQUARE MALL
Second Line	:
City	:	STONY POINT
State	:	NY
Zip	:	10980-2400
Country	:	US
Telephone Number	:	845-942-1001
Fax Number	:	845-942-1431

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

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	08/07/2019

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