Basic Information
Provider Information
NPI: 1447319413
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARUM
FirstName: EUGENE
MiddleName: S.
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1000 ZECKENDORF BLVD
Address2:  
City: GARDEN CITY
State: NY
PostalCode: 115302133
CountryCode: US
TelephoneNumber: 5165426880
FaxNumber: 5165425556
Practice Location
Address1: 226 CLINTON ST
Address2:  
City: HEMPSTEAD
State: NY
PostalCode: 115502614
CountryCode: US
TelephoneNumber: 5164832020
FaxNumber: 5165601895
Other Information
ProviderEnumerationDate: 12/06/2006
LastUpdateDate: 10/05/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207W00000X116763NYY Allopathic & Osteopathic PhysiciansOphthalmology 

No ID Information.


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