Provider Demographics
NPI:1619604634
Name:ARNOLD, ASHER LEVI
Entity Type:Individual
Prefix:
First Name:ASHER
Middle Name:LEVI
Last Name:ARNOLD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:570 WESTMINSTER RD APT A12
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-1446
Mailing Address - Country:US
Mailing Address - Phone:206-790-0800
Mailing Address - Fax:
Practice Address - Street 1:570 WESTMINSTER RD APT A12
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-1446
Practice Address - Country:US
Practice Address - Phone:206-790-0800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-01
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program