Provider Demographics
NPI:1801024419
Name:CENIZA, ARTURO EVANGELISTA (NP-BC)
Entity Type:Individual
Prefix:MR
First Name:ARTURO
Middle Name:EVANGELISTA
Last Name:CENIZA
Suffix:
Gender:M
Credentials:NP-BC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19-19 HAZEN ST.
Mailing Address - Street 2:RMSC, RIKER'S ISLAND
Mailing Address - City:EAST ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11370
Mailing Address - Country:US
Mailing Address - Phone:718-546-7661
Mailing Address - Fax:718-546-7678
Practice Address - Street 1:1919 HAZEN ST
Practice Address - Street 2:RMSC, RIKER'S ISLAND
Practice Address - City:EAST ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11370-1298
Practice Address - Country:US
Practice Address - Phone:718-546-7661
Practice Address - Fax:718-546-7678
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-23
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF303319363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health