Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | NOO4960-1 | NY |
Y | 222Z00000X | Podiatrist | NOO4960-1 | NY |
N | 213EP1101X | Primary Podiatric Medicine | NOO4960-1 | NY |
NPI | 1487737599 |
---|---|
Provider Name | Dr. Arthur J Merola |
First Address | Staten Island, NY 10305-3710 |
Second Address | Staten Island, NY 10304-4420 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2006 |
Last Update Date | 28/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01648186 | (05) | NY |
U45059 | (02) | NY |