Provider Demographics
NPI:1932215241
Name:ROBERT J. ARLEO, MD,PC
Entity Type:Organization
Organization Name:ROBERT J. ARLEO, MD,PC
Other - Org Name:ARLEO EYE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:ARLEO
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PC
Authorized Official - Phone:607-257-5599
Mailing Address - Street 1:100 UPTOWN RD
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-1632
Mailing Address - Country:US
Mailing Address - Phone:607-257-5599
Mailing Address - Fax:607-257-3972
Practice Address - Street 1:100 UPTOWN RD
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-1632
Practice Address - Country:US
Practice Address - Phone:607-257-5599
Practice Address - Fax:607-257-3972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-21
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY=========OtherTAX IDENTIFICATION NUMBER
NY=========OtherTAX IDENTIFICATION NUMBER