Provider Demographics
NPI:1154415735
Name:ARSLAN, NABIL CHARBEL (MD)
Entity type:Individual
Prefix:
First Name:NABIL
Middle Name:CHARBEL
Last Name:ARSLAN
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 1:5 RODEO DRIVE
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956
Mailing Address - Country:US
Mailing Address - Phone:845-638-0381
Mailing Address - Fax:845-638-2038
Practice Address - Street 1:137 MAPLE AVE
Practice Address - Street 2:UNIT # 1
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601
Practice Address - Country:US
Practice Address - Phone:914-948-2257
Practice Address - Fax:845-638-2038
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1597502085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01021356Medicaid
NY2950064OtherAETNA/US HEALTHCARE
NYD91816Medicare UPIN
NY03F031Medicare ID - Type Unspecified