Provider Demographics
NPI:1942495056
Name:FOX, ARTHUR (PHD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:
Last Name:FOX
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:853 BROADWAY STE 1401
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-4716
Mailing Address - Country:US
Mailing Address - Phone:917-821-6198
Mailing Address - Fax:212-505-5158
Practice Address - Street 1:853 BROADWAY STE 1401
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-4716
Practice Address - Country:US
Practice Address - Phone:917-821-6198
Practice Address - Fax:212-505-5158
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-11
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0146-00103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02146505Medicaid
NY02146505Medicaid