Provider Demographics
NPI:1013953538
Name:ARKOW, STAN (MD)
Entity Type:Individual
Prefix:DR
First Name:STAN
Middle Name:
Last Name:ARKOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:740 W END AVE
Mailing Address - Street 2:SUITE 5-A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-6246
Mailing Address - Country:US
Mailing Address - Phone:212-663-5185
Mailing Address - Fax:914-722-6864
Practice Address - Street 1:740 W END AVE
Practice Address - Street 2:SUITE 5-A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-6246
Practice Address - Country:US
Practice Address - Phone:212-663-5185
Practice Address - Fax:914-722-6864
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-22
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1355902084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00927202Medicaid
NY00927202Medicaid
NYB15708Medicare UPIN