Provider Demographics
NPI:1558341222
Name:FOUGNER, ARTHUR C (MD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:C
Last Name:FOUGNER
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 1:4312 PARSONS BLVD
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-2162
Mailing Address - Country:US
Mailing Address - Phone:718-353-7571
Mailing Address - Fax:718-460-1322
Practice Address - Street 1:4312 PARSONS BLVD
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-2162
Practice Address - Country:US
Practice Address - Phone:718-353-7571
Practice Address - Fax:718-460-1322
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY121483207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B17026Medicare UPIN
NY80384Medicare ID - Type Unspecified