Provider Demographics
NPI:1457448169
Name:TRUST, ARTHUR (DO)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:
Last Name:TRUST
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3003 NEW HYDE PARK RD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042-1214
Mailing Address - Country:US
Mailing Address - Phone:516-326-0707
Mailing Address - Fax:516-326-1101
Practice Address - Street 1:3003 NEW HYDE PARK RD
Practice Address - Street 2:SUITE 303
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-1214
Practice Address - Country:US
Practice Address - Phone:516-326-0707
Practice Address - Fax:516-326-1101
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2010-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY158531207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY38F491Medicare ID - Type Unspecified
NYE87367Medicare UPIN