Provider Demographics
NPI:1295989234
Name:JOANNE ARNOLD MD PC
Entity type:Organization
Organization Name:JOANNE ARNOLD MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:716-204-9296
Mailing Address - Street 1:8604 MAIN ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-7463
Mailing Address - Country:US
Mailing Address - Phone:716-204-9296
Mailing Address - Fax:716-810-0975
Practice Address - Street 1:8604 MAIN ST
Practice Address - Street 2:SUITE 4
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-7463
Practice Address - Country:US
Practice Address - Phone:716-204-9296
Practice Address - Fax:716-810-0975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-04
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY270175207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH17475Medicare UPIN