Provider Demographics
NPI:1285604231
Name:ARENOS, DANIEL J (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:J
Last Name:ARENOS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2 EXECUTIVE PARK DR
Mailing Address - Street 2:STE 1
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12203-3700
Mailing Address - Country:US
Mailing Address - Phone:518-456-4200
Mailing Address - Fax:518-456-4220
Practice Address - Street 1:2 EXECUTIVE PARK DR
Practice Address - Street 2:STE 1
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203-3700
Practice Address - Country:US
Practice Address - Phone:518-456-4200
Practice Address - Fax:518-456-4220
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-24
Last Update Date:2019-03-06
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Provider Licenses
StateLicense IDTaxonomies
NY180403-1207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01234931Medicaid
E83769Medicare UPIN
NY01234931Medicaid
RA2381Medicare PIN