Provider Demographics
NPI:1861587438
Name:PINKHAS, ARKADY
Entity type:Individual
Prefix:
First Name:ARKADY
Middle Name:
Last Name:PINKHAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9830 67TH AVENUE
Mailing Address - Street 2:SUITE FF
Mailing Address - City:FORSET HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11374
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9830 67TH AVENUE
Practice Address - Street 2:SUITE FF
Practice Address - City:FORSET HILLS
Practice Address - State:NY
Practice Address - Zip Code:11374
Practice Address - Country:US
Practice Address - Phone:718-896-2200
Practice Address - Fax:718-830-6215
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY213500207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02048502Medicaid
NY04712Medicare ID - Type Unspecified
NY02048502Medicaid