Provider Demographics
NPI:1588946396
Name:PINKHASOV, ARTHUR (MD)
Entity type:Individual
Prefix:
First Name:ARTHUR
Middle Name:
Last Name:PINKHASOV
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 IRVING PLACE
Mailing Address - Street 2:WOODMERE MEDICAL ASSOCIATES
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598
Mailing Address - Country:US
Mailing Address - Phone:516-374-7738
Mailing Address - Fax:516-374-6758
Practice Address - Street 1:15 IRVING PLACE
Practice Address - Street 2:WOODMERE MEDICAL ASSOCIATES
Practice Address - City:WOODMERE
Practice Address - State:NY
Practice Address - Zip Code:11598
Practice Address - Country:US
Practice Address - Phone:516-374-7738
Practice Address - Fax:516-374-6758
Is Sole Proprietor?:No
Enumeration Date:2011-09-16
Last Update Date:2014-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY265438-1207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine