Provider Demographics
NPI:1134269855
Name:ARYA, URMILESH (MD)
Entity type:Individual
Prefix:DR
First Name:URMILESH
Middle Name:
Last Name:ARYA
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 1:2 DEBRA CT
Mailing Address - Street 2:
Mailing Address - City:OLD WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11568-1312
Mailing Address - Country:US
Mailing Address - Phone:516-997-7220
Mailing Address - Fax:718-786-0393
Practice Address - Street 1:1029 41ST AVE
Practice Address - Street 2:QUEENS BRIDGE CLINIC
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101-7346
Practice Address - Country:US
Practice Address - Phone:718-786-5324
Practice Address - Fax:718-786-0393
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY124971208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics