Provider Demographics
NPI:1467614123
Name:ARTHRITIS & RHEUMATOLOGY CARE PC
Entity Type:Organization
Organization Name:ARTHRITIS & RHEUMATOLOGY CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-906-6327
Mailing Address - Street 1:1113 LAMPLIGHT WAY
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-5609
Mailing Address - Country:US
Mailing Address - Phone:718-906-6327
Mailing Address - Fax:412-324-7399
Practice Address - Street 1:1250 OCEAN PKWY STE LN
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-5155
Practice Address - Country:US
Practice Address - Phone:718-906-6327
Practice Address - Fax:718-303-0984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-25
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY244064207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02982598Medicaid