Provider Demographics
NPI:1801893185
Name:LEVENTHAL, ARNOLD MARC (MD)
Entity type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:MARC
Last Name:LEVENTHAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:280 BREEZYWAY
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:NY
Mailing Address - Zip Code:11559-2105
Mailing Address - Country:US
Mailing Address - Phone:516-592-2380
Mailing Address - Fax:516-374-4198
Practice Address - Street 1:280 BREEZYWAY
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:NY
Practice Address - Zip Code:11559-2105
Practice Address - Country:US
Practice Address - Phone:516-592-2380
Practice Address - Fax:516-374-4198
Is Sole Proprietor?:No
Enumeration Date:2005-07-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY163284208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY340003821OtherRAILROAD MEDICARE
NY01137580Medicaid
NY37F121OtherBLUE CROSS
E17691Medicare UPIN
NY01137580Medicaid