Provider Demographics
NPI:1154612893
Name:BAHAR, ARLENE FRANCES
Entity type:Individual
Prefix:
First Name:ARLENE
Middle Name:FRANCES
Last Name:BAHAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:NY
Mailing Address - Zip Code:14882-8931
Mailing Address - Country:US
Mailing Address - Phone:607-793-5556
Mailing Address - Fax:
Practice Address - Street 1:11 EAST MAIN STREET
Practice Address - Street 2:
Practice Address - City:DRYDEN
Practice Address - State:NY
Practice Address - Zip Code:13053-3901
Practice Address - Country:US
Practice Address - Phone:607-793-5556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-28
Last Update Date:2015-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP036799L183500000X
NYI0556101183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist