Provider Demographics
NPI:1659660140
Name:FLAHERTY-ARNOUX, JUDITH MARIE (MD)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:MARIE
Last Name:FLAHERTY-ARNOUX
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26324 74TH AVE
Mailing Address - Street 2:APT D4
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11004-1175
Mailing Address - Country:US
Mailing Address - Phone:347-306-4783
Mailing Address - Fax:
Practice Address - Street 1:26324 74TH AVE
Practice Address - Street 2:APT D4
Practice Address - City:FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11004-1175
Practice Address - Country:US
Practice Address - Phone:347-306-4783
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-05
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT051512207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine