Provider Demographics
NPI:1316061393
Name:NALIBOFF, ARTHUR RUELE (RPH)
Entity type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:RUELE
Last Name:NALIBOFF
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 S MIDDLE NECK RD
Mailing Address - Street 2:APT# 1H
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-4643
Mailing Address - Country:US
Mailing Address - Phone:516-466-4665
Mailing Address - Fax:
Practice Address - Street 1:55 WATER STREET
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10041-8190
Practice Address - Country:US
Practice Address - Phone:646-447-7248
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY032237183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist