Provider Demographics
NPI:1225883325
Name:ATTIA, ARSANY (DC)
Entity type:Individual
Prefix:
First Name:ARSANY
Middle Name:
Last Name:ATTIA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:289 SUNSET AVE
Mailing Address - Street 2:
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-1128
Mailing Address - Country:US
Mailing Address - Phone:646-492-3077
Mailing Address - Fax:
Practice Address - Street 1:347D MATAWAN RD
Practice Address - Street 2:
Practice Address - City:MATAWAN
Practice Address - State:NJ
Practice Address - Zip Code:07747-3925
Practice Address - Country:US
Practice Address - Phone:732-566-9696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-22
Last Update Date:2024-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013858111N00000X
NJ38MC00804500111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty