Provider Demographics
NPI:1639296171
Name:ADVANCED ARISON INC.
Entity Type:Organization
Organization Name:ADVANCED ARISON INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JINNY
Authorized Official - Middle Name:FRANZE
Authorized Official - Last Name:GERSTLE
Authorized Official - Suffix:
Authorized Official - Credentials:EDDRD,CDN
Authorized Official - Phone:914-949-4296
Mailing Address - Street 1:338 COLUMBUS AVE
Mailing Address - Street 2:
Mailing Address - City:WEST HARRISON
Mailing Address - State:NY
Mailing Address - Zip Code:10604-2138
Mailing Address - Country:US
Mailing Address - Phone:914-949-4296
Mailing Address - Fax:
Practice Address - Street 1:338 COLUMBUS AVE
Practice Address - Street 2:
Practice Address - City:WEST HARRISON
Practice Address - State:NY
Practice Address - Zip Code:10604-2138
Practice Address - Country:US
Practice Address - Phone:914-949-4296
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2149726OtherUNITED HEALTH CARE
NY2587871OtherAETNAHMO
NY8099887OtherGHI
NY4263220003OtherCIGNA
NY67185OtherGHI HMO
NY1000041533OtherAFFINITY
NYP2616825OtherOXFORD
NY7702234OtherAETNA PPO
NY7702234OtherAETNA PPO