Provider Demographics
NPI:1811201601
Name:ARUL & ARUL INC
Entity Type:Organization
Organization Name:ARUL & ARUL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROSEANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAFT
Authorized Official - Suffix:
Authorized Official - Credentials:CCS-P
Authorized Official - Phone:315-724-7366
Mailing Address - Street 1:95 GENESEE ST
Mailing Address - Street 2:
Mailing Address - City:NEW HARTFORD
Mailing Address - State:NY
Mailing Address - Zip Code:13413-2357
Mailing Address - Country:US
Mailing Address - Phone:315-724-7366
Mailing Address - Fax:315-724-0293
Practice Address - Street 1:95 GENESEE ST
Practice Address - Street 2:
Practice Address - City:NEW HARTFORD
Practice Address - State:NY
Practice Address - Zip Code:13413-2357
Practice Address - Country:US
Practice Address - Phone:315-724-7366
Practice Address - Fax:315-724-0293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-04
Last Update Date:2010-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY211037-1207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01900747Medicaid
NYIA1389Medicare PIN
NYBB7890Medicare PIN
NY01900747Medicaid