Provider Demographics
NPI:1669489381
Name:ARBEITER, NANCY ANN (NP)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:ANN
Last Name:ARBEITER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 PEARL ST
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:NY
Mailing Address - Zip Code:14103-1135
Mailing Address - Country:US
Mailing Address - Phone:716-440-8259
Mailing Address - Fax:
Practice Address - Street 1:314 PEARL ST
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:NY
Practice Address - Zip Code:14103-1135
Practice Address - Country:US
Practice Address - Phone:716-440-8259
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY303429363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02346234Medicaid
NY02346234Medicaid