Provider Demographics
NPI:1851504674
Name:SMALDONE, ARLENE (DNSC, CPNP, CDE)
Entity Type:Individual
Prefix:DR
First Name:ARLENE
Middle Name:
Last Name:SMALDONE
Suffix:
Gender:F
Credentials:DNSC, CPNP, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SETAUKET
Mailing Address - State:NY
Mailing Address - Zip Code:11733-2862
Mailing Address - Country:US
Mailing Address - Phone:212-342-3048
Mailing Address - Fax:212-305-6937
Practice Address - Street 1:47 MAIN ST
Practice Address - Street 2:
Practice Address - City:SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11733-2862
Practice Address - Country:US
Practice Address - Phone:212-342-3048
Practice Address - Fax:212-305-6937
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF380659-1363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics