Provider Demographics
NPI:1891705422
Name:ARNO D HOUSMAN MD PC
Entity type:Organization
Organization Name:ARNO D HOUSMAN MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:UROLOGIC SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:ARNO
Authorized Official - Middle Name:D
Authorized Official - Last Name:HOUSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-941-0617
Mailing Address - Street 1:325 S HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:BRIARCLIFF MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10510-2096
Mailing Address - Country:US
Mailing Address - Phone:914-941-0617
Mailing Address - Fax:914-941-2323
Practice Address - Street 1:325 S HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:BRIARCLIFF MANOR
Practice Address - State:NY
Practice Address - Zip Code:10510-2096
Practice Address - Country:US
Practice Address - Phone:914-941-0617
Practice Address - Fax:914-941-2323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-08
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1474001208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY3S954OtherBLUE CHOICE
NY340020555OtherRR MEDICARE
NYOD2736OtherHTHNET
NY3002857OtherAETNA
NYW5672OtherOXFORD
NY01007583Medicaid
NYWEJ941Medicare PIN
NYOD2736OtherHTHNET