Provider Demographics
NPI:1174672398
Name:ARBISSER, JOEL (MD)
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:
Last Name:ARBISSER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4722 FORT HAMILTON PKWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-2926
Mailing Address - Country:US
Mailing Address - Phone:718-436-3211
Mailing Address - Fax:718-339-8277
Practice Address - Street 1:1663 E 18TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-1257
Practice Address - Country:US
Practice Address - Phone:718-951-0500
Practice Address - Fax:718-339-8277
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2016-02-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY123999207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY338512OtherBLUE CROSS
NY0001477OtherGHI
NY00279121Medicaid
NY338512OtherBLUE CROSS
NY0001477OtherGHI