Provider Demographics
NPI:1144218249
Name:BUDNIKAS, ARUNAS ALEXSANDRAS (MD)
Entity Type:Individual
Prefix:
First Name:ARUNAS
Middle Name:ALEXSANDRAS
Last Name:BUDNIKAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 304
Mailing Address - Street 2:
Mailing Address - City:GLENS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12801-0304
Mailing Address - Country:US
Mailing Address - Phone:518-692-9861
Mailing Address - Fax:518-692-7947
Practice Address - Street 1:1134 STATE ROUTE 29
Practice Address - Street 2:GREENWICH FAMILY HEALTH CENTER
Practice Address - City:GREENWICH
Practice Address - State:NY
Practice Address - Zip Code:12834-6107
Practice Address - Country:US
Practice Address - Phone:518-692-9861
Practice Address - Fax:518-692-7947
Is Sole Proprietor?:No
Enumeration Date:2005-10-12
Last Update Date:2015-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY137278207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP00209358OtherRR MEDICARE
NY00556785Medicaid
B82593Medicare UPIN
NYRA6646Medicare PIN