Provider Demographics
NPI:1104035575
Name:ARCE, MINDY FRUMIN (LCAT)
Entity type:Individual
Prefix:MRS
First Name:MINDY
Middle Name:FRUMIN
Last Name:ARCE
Suffix:
Gender:F
Credentials:LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 RALPH AVE
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11717-2407
Mailing Address - Country:US
Mailing Address - Phone:631-231-9155
Mailing Address - Fax:
Practice Address - Street 1:6 RALPH AVE
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:NY
Practice Address - Zip Code:11717-2407
Practice Address - Country:US
Practice Address - Phone:631-231-9155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000023221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist