Provider Demographics
NPI:1821294067
Name:RENAT ARSLANOV PEDIATRICS, LLC
Entity Type:Organization
Organization Name:RENAT ARSLANOV PEDIATRICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:RENAT
Authorized Official - Middle Name:
Authorized Official - Last Name:ARSLANOV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-942-1573
Mailing Address - Street 1:19 VERMILYEA AVE
Mailing Address - Street 2:3A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10034-5412
Mailing Address - Country:US
Mailing Address - Phone:212-942-1573
Mailing Address - Fax:
Practice Address - Street 1:19 VERMILYEA AVE
Practice Address - Street 2:3A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10034-5412
Practice Address - Country:US
Practice Address - Phone:212-942-1573
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty