Provider Demographics
NPI:1710126446
Name:ARNOLD, ELKA BRACHA (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:ELKA
Middle Name:BRACHA
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1122 AVENUE L
Mailing Address - Street 2:APT #2
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-4808
Mailing Address - Country:US
Mailing Address - Phone:718-951-1227
Mailing Address - Fax:
Practice Address - Street 1:1122 AVENUE L
Practice Address - Street 2:APT #2
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-4808
Practice Address - Country:US
Practice Address - Phone:718-951-1227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-19
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010817-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist