Basic Information
Provider Information
NPI: 1093065781
EntityType: 2
ReplacementNPI:  
OrganizationName: ARNOT MEDICAL SERVICES PLLC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 722 W WATER ST
Address2:  
City: ELMIRA
State: NY
PostalCode: 149052435
CountryCode: US
TelephoneNumber: 6072712050
FaxNumber: 6072712099
Practice Location
Address1: 100 JOHN ROEMMELT DR
Address2:  
City: HORSEHEADS
State: NY
PostalCode: 148458301
CountryCode: US
TelephoneNumber: 6077952820
FaxNumber: 6077952821
Other Information
ProviderEnumerationDate: 09/11/2012
LastUpdateDate: 09/11/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: LAMBERT
AuthorizedOfficialFirstName: ROBERT
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: OWNER
AuthorizedOfficialTelephone: 6072712050
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MD
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
133NN1002X  Y193200000X MULTI-SPECIALTY GROUPDietary & Nutritional Service ProvidersNutritionistNutrition, Education

No ID Information.


Home