Provider Demographics
NPI:1336229244
Name:ARNON LAMBROZA MD PC
Entity type:Organization
Organization Name:ARNON LAMBROZA MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARNON
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMBROZA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-517-7570
Mailing Address - Street 1:1085 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-1168
Mailing Address - Country:US
Mailing Address - Phone:212-517-7570
Mailing Address - Fax:212-517-7789
Practice Address - Street 1:1085 PARK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-1168
Practice Address - Country:US
Practice Address - Phone:212-517-7570
Practice Address - Fax:212-517-7789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY169734207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
E87387Medicare UPIN
41F12Medicare ID - Type Unspecified