Provider Demographics
NPI:1063858652
Name:ARNOW FAMILY MEDICAL CENTER
Entity Type:Organization
Organization Name:ARNOW FAMILY MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIWANTIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SEEMANGAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-662-4708
Mailing Address - Street 1:2901 CRUGER AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-8207
Mailing Address - Country:US
Mailing Address - Phone:646-662-4708
Mailing Address - Fax:718-231-5032
Practice Address - Street 1:2901 CRUGER AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-8207
Practice Address - Country:US
Practice Address - Phone:646-662-4708
Practice Address - Fax:718-231-5032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-22
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization