Provider Demographics
NPI:1871635748
Name:TELFEIAN, ARLIN (MD)
Entity Type:Individual
Prefix:
First Name:ARLIN
Middle Name:
Last Name:TELFEIAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6530 108TH ST
Mailing Address - Street 2:#1G
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-2255
Mailing Address - Country:US
Mailing Address - Phone:718-275-1400
Mailing Address - Fax:718-263-1377
Practice Address - Street 1:6530 108TH ST
Practice Address - Street 2:#1G
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-2255
Practice Address - Country:US
Practice Address - Phone:718-275-1400
Practice Address - Fax:718-263-1377
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2219952080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02201274Medicaid