Basic Information
Provider Information
NPI: 1124052774
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARBEIT
FirstName: LEONARD
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: P.O. BOX 1559
Address2:  
City: STONY BROOK
State: NY
PostalCode: 11790
CountryCode: US
TelephoneNumber: 6314440580
FaxNumber:  
Practice Location
Address1: 26 RESEARCH WAY
Address2:  
City: EAST SETAUKET
State: NY
PostalCode: 11733
CountryCode: US
TelephoneNumber: 6314440580
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/10/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RN0300X139412NYY Allopathic & Osteopathic PhysiciansInternal MedicineNephrology

ID Information
IDTypeStateIssuerDescription
580200201NYAETNAOTHER
0043445505NY MEDICAID
18A2601NYEMPIRE BC.BSOTHER


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