Basic Information
Provider Information
NPI: 1356384036
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KAY
FirstName: ARTHUR
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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Mailing Information
Address1: 89-06 135TH STREET
Address2: SUITE 7-L
City: JAMAICA
State: NY
PostalCode: 11418
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1 BROOKDALE PLAZA
Address2: SNAPPER PAVILION
City: BROOKLYN
State: NY
PostalCode: 11212
CountryCode: US
TelephoneNumber: 7182405622
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/13/2006
LastUpdateDate: 10/15/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084N0400X139215NYY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology

No ID Information.


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