Provider Demographics
NPI:1619454568
Name:ARTHUR JENKINS MD LLC
Entity Type:Organization
Organization Name:ARTHUR JENKINS MD LLC
Other - Org Name:ARTHUR JENKINS MD LCC
Other - Org Type:Other Name
Authorized Official - Title/Position:SURGICAL COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:WINCARLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-499-0488
Mailing Address - Street 1:65 EAT 96TH STREET
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128
Mailing Address - Country:US
Mailing Address - Phone:646-499-0488
Mailing Address - Fax:646-810-6486
Practice Address - Street 1:65 EAT 96TH STREET
Practice Address - Street 2:SUITE 1B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128
Practice Address - Country:US
Practice Address - Phone:646-499-0488
Practice Address - Fax:646-810-6486
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-24
Last Update Date:2018-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY196344-1207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty